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PLUMBING-INSPECTOR RECORD
<br />olltiDt tuurtt Dslcar rtoN
<br />I h.t!y fE on& Frry of Fj'ry $r I d dd9r imft Cod-l6 Lie tre for rlE 6[.,*i.8 lrr (Sdml| J
<br />aldE. d Prcfanh Co&)r A,y Cily or Colry wttl' ,qllc ! FEi to oinnrd, .16. iip.ov.. tltul.t d l9.n Ey
<br />-Eruq F loi. h[e.lo Eq,i- $. +lid 6ruiFDiro tu..ittdir.rH d-t q& i tilu.d Fdi
<br />!o rlF FoviioB of $. Coir.aldl Lic6!.d r.w (Cnerd 9. Cotm*in8 wnn sEdon 7000 of Divi.i.i I ol $. Euit6 ed
<br />tDft.ioa Co4) q Or h.q lE i aatd $adqt rd tlE b-r fDr $..lh.d adCd.r An, vbLir ofsclio! mll.t by ey
<br />.r'pli<.d tu . For $lirr! rt eli.rn lo . cavil Ful, of ol @@ ll!& fiv. hlnH &r[d (lt@).
<br />_ l. r olG of tlt FoFrn 6.r.r+b,6 eit \.*6 ! dt i Dlc o.p.din! sin& dEEt d d! fi!& a Dl
<br />ia&d d olEld ftr rlc (Sc.roa4. eliB -d P!!&ioE C.dq TIE Corrr*td r Li@ te <lE dr lply ro 6 ovE ol
<br />ln. Fr'fary wto hd.r or bglM tha6r. id lno d€ rdr sn hielto. ha*lf d ibo{a! t! o tE os arylot!.!.
<br />FviLdt|l. *t i+!',@ c d i.ad doE .d 5. r.L lt ho$!q.6. rlildit a iquid i -Lt ttbb c !a
<br />ofc.oplaira ft o,G er& sin luE dr hrd6 ofFdlt da lE ( tlE (ld rr, h,ild d iryM ltt FoFt, ft. u. FdDo. of
<br />t. 6 o*G olllE FoFir, E sctEiEly otn..riry vnh [@.d cqrtuldlo @omrEl E Fljci (Sc.7044, E€ito
<br />-d Aotid Co&: TIE Coealfi . Li.* b* &6 br sly to e .'*G of FlDdy *l'o tuil6 q irFlq $460.
<br />.'d *to otErt &. r.6 Finr wii . C.dlld(r) liqr.d FrEr lo E coG-lrr ti@ l-)
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<br />toSxlSsrqMElsAllq!
<br />DICIdEAI]A!
<br />I ha.by .fm ui.la pa.hr otpajlry oE of tlE iolLwi!3 d..lr.lhd:
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<br />br nd*illdi,itb.c6ri6.r. ofc.d ro sdilrc l wto @Ea-bl! - EDvi!.a ft.lyscrib ]r00 oflb
<br />rrbor clda for0. Ffti!{c oftt 6L br *ftt ft FEr a i&r(
<br />-l h.E &<l willoid.i! h.t6'oep.ddio. iamrq6 Eqsind by s6rih !700 otot t bd co&, tu th. Ffolltre of
<br />U. eqt fo. etth Ob Fal i b!{ My sorta oqo.rb! b.!re .8rii d polty .@b. ft:
<br />,,.," -'7-/ 9- (] {,",o X
<br />+tv.L?
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<br />\_!__r\s_r-\Scrilr 1016 ofrlE tio. Co<L..naa.d.rcry r E6
<br />- I €tify rlid i! rh. Ffoirn.e of rl'. *qt fd *tth Oir FEi i. in!.d. I rldl @l .tr9b, ay Fsn b .6y !n&
<br />b .ro !Go@ Dtill roft wqr.J 6E dinLs ofcdri'ni..n iE rhl if I.lbulil boc nlitl blt.
<br />wri6' cmFlniotr FlvnioE of Saiirn !700 of $. L.td Cod4 I rr.lt fonhwtrh cod+l, win tu. FDvirbB..
<br />WAnNnG: F.i!c b s@ wt6' smFlrih org.B. n unLwftl. .!d.lull $bird - a4bF lo cimh.l Frib &d
<br />ci l fi!6 st ro oB bur(H dburld &llr! (tl@.000). h rruirior ro rh. cor ot @t!r.G[io,! dlEtq s FoviLd for tlE
<br />"E-
<br />EICT'EAIIO!
<br />I t4!,.rI'E odE F.,i,orFiEy rL I E tr.r '!d' Fvn of Ct$r 9 (6lllci4 ril S.!in 740) orDiviior l
<br />or dE &!iE id Phli.ir Cod., -d o, li.a i b tul brE .d !l[Et.
<br />u@. cL:-1i6.. Nud.r:
<br />D.* crbl.i-
<br />coB[ratcDad lIdDllG.AGElcr
<br />I lErt,dftoud6 Frl,orFiE,d'r dEr ir.@dodin lqii'B rc, t dEFftffi ofti.wt tr Bhd, '!FEi i
<br />brql (56. 1097. Civ, C ).
<br />AIII.ICAIIDECITAIAIIOA
<br />I i'q eE uda po.n, of Fily on of ll, btbf,iis d..bri.r:
<br />Dq&hbtr PsEilr^lb-l@ NoiifEnior F.dsrl R.auhirE (Ti|.40. ltn6)
<br />i4rild taq of |lnifidiE
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<br />cditltr tb ed6.l iSdri8.!ridn!.l.36 tfutd G rll rdt tl. ro d!i. F!id.
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<br />caiif, dld I h.!. Ed riit epli..tbn .d tll. r,'i rh. .toE i,bnnrion ir .dr*l. I {r- !o orpl, *ith .! Cir.rd Co@ry
<br />adi@ d nrc t,s ,rhis to tlildir @duriE d H, .rt'riz. ltpsri€ of tti Ciy -d Cqny lo .d. !+o' dt
<br />APPROVALS DATE tD/stG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />/A
<br />Rough Plumbing "n*$Y+t{ttl
<br />Final Gas Test \-7
<br />Meter Release
<br />FINAL f:vl,lfr*/n-_-,-
<br />Notes Remarks Etc
<br />.w EnF..d proFty ln il4ction lrrBe.
<br />\--*^.-o."- 7-/ t/ / /
<br />I
<br />I
<br />II
<br />II
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />ahlli
<br />I
<br />+
<br />I I
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