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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUII'ER DELCARATION <br />I hoct y .mm uid6 F..hy oa Fl!r, lhd I m .kDF 6.m rh. ( onl6.loB l.icN l $' tor rh. followinS r.eLisc 70l l t <br />lru'nq !,!d Profsion Cod.) Any C'ry or Couily vhich ,cqutrB . F.!r to olurud. th6. inFole d.nolisli or r+sr uv <br />lrruc1urc Fior ro r'r B!ec. !tr. r.qln6 rh.4?ltur for .u.h pamil lo lik r s!8n d slnoml lhd h. or 3lE b lic.n!.1 por$@J <br />lo th. IrrtilhE otttE ( ontrxkn! l,i.m*d Lt*,(Cn!fls 9. Gmd(ins sirh sdlFn 7m0 ot Dnlrio. 1 olllE BBind lnd <br />Pmlisiont Co&) or rhd lE u ih. n cr.dpr rhdcarcm &d rh. bda for rh. .llcgcd d@p(i.n Anlvioblionofs.diorT0.ll.5 by&y <br />.rrnf,int tor r Fchn tuhj61! rh. qDli.ar ro r civil pduhy of mr norc rh! li\ . h!.&.d &lLrs ($J001. <br />-1. <br />. M of [E FDFrr. tr E, apbr€ wnh *r3- ! ft.n bE 6n'pd.bo eil] (b lrE *dt -d dE d'rde i tul <br />iddld.d d otu ft. .lc (sc.?oaa. Bo&E ed lrohdoE Codq TIE Co'rr..id! LirE l& &6 6l tpt lo a owG of <br />lh.FoFr, alD hiib I nEo6 tn6an nd *ho 6drin 6t niMlto, hd*lfor tkolgh tu d t- ou olphyE <br />FoviLd thr xt ilFwrdr e d irdd.d dotu 6( -l.. lf,lb6n.0E hr&&U d iryolsE b sld winh m )E <br />ol..rpbiio. tlE (xc Eoilda eil bE dE hrda ofForir da h. 6 tlE dn fl, hdd or irylE 6c F.Fly ftr 0E Frror. of <br />I. . o*E otlic FlFrr. m qcluEl, cdrdi| *i0' li.oEd 6fed lo @elrl lh. pq.s (Se 70,L. AliE <br />]d hotin Co&: Tlc Conr-rd . Lt.@ t w do6 @r eply to 6 o*E of p.lpany wt hoili d iEFDTE ltdBn <br />6.1 *l'. 6d-r! tur rt Foidr wirh . Con'!d6(r) U.@Gd F!r!r lo tn. c.tt-ld r Li@ La). <br />I mr.\.m trtuj- S(ttr)n ,Il & l,( i{rhBrR{n <br />wotxEns,coM.m|sarloN <br />DICIAAAIIa! <br />I hq.tt rffm sid.. Fdq olFiBy oE ofllE folh*r{ dal'eiir6: <br />-lbE -l f,illuidi!. Catituc of CoE ro Sdaht'! fr. Et6 6qdril.. ! FoviLd ft. tt S!db61700 otri. <br />L$o.co.lc htt Ftrllcr olft. wt h. Illit llE Frd i b!{ <br />I h.v. .d *itl oidri! sdt6 snF!.ii iffiq s Fquild by S6rih 1700 of E lrbor C.dc 6r dE Ffolrta. ol <br />i irr.d My wt6 Mp6.6n ia!ft. trir .d Fli.y Enh6 G <br />lPt2A(,trq3!5 3.\. r o <br />I .dri& ina b 0E gcfo.r!.E otdE 6rt tu ltil lhb Dcui b isErL l { dr @hy ey F$. i. .!, Ddd <br />- lto bc.!C otir1 lo Ir wtcl @pdioi Ls ofc.lifcli. !d ryE$r if I Aocld ta'E rdixr lott <br />@*o' @qcra. FoliriE otserio6lr00 of rt L&. Co<le I tr[ ftdiwirh orqly *il E FoviliE. <br />rxARnInG: F.ilr! lo cc 6ta @ocd.lin ovu{G i ohtuL -d drfl $!iB - .rFbF lo oi'iC F.ri. ad <br />civil ftF q lo E hdH ttu-d &lLt (tlql.@I i! .d.Lio' ro rtc.or of 6n".dk!.. .bat 6 FoviLd 6. rtG <br />S..d6 10?6 of tt t &. C!d.. i.ci d &rEr'r ta <br />rr.rq . \'?-s '\oc <br />oEralArlod <br />t nsltr.rLaE& pdr, olFi4 uL l o t d 'r& F@ii.E of ct'lc 9(6@t vth sdit rqE) otoniit, <br />of lt.IrnE rd tro*-ir C.d.. nd E, bc a b tu! lbc !.1.ftd. <br />11 fr tosfl1 og1 <br />\.Ls.\-., <br />COIEIAUCIIO!,.LEIDIIEIGIIEI <br />I torly .frh E da p@r, of Ffry O. Oa! b . @d.!cb. bdilg icy fti t[. F6.rc of th 6t 6t rtit llli Foi it <br />rs,.JlS( rrr7.( tr ( l <br />.IIIICAtrI.DECI'EAIIA! <br />I bdb, nED'rd6 p6.r, ofFjsy c olrt 6lb?i! d..LniE: <br />D@olitio! rBEi'A$.ad Norif..ib S..b.l R.anhi6 (Iit ,{), Pn6) <br />-R.qw!d <br />Lana ol lhii.tb. <br />I .dit l, $. H6d Gt{bio6 nr.d6a !h.r6 llFrd E er +ditbL ro rhi Foi.l. <br />- I €liry rhr I h& Ed lh6 .rrltrin -d rrc dlr tnc .!'E inromlrion b d'tl. t eE lo @noly *ih .I City ..d Coulty <br />otdiryo ri slr. lrs ,!hnt io hiLli'r 6 rudbr -d hd!t, dlDir EFB.rriG of rb. Ci, ad Cou y lo dr r+oi 0r <br />.boE Grb..d FoFry 6. Nrcibn <br />ADo!..!l or Aral Skdt.n: <br />PdllEn.a.(prt.O E <br />o.,. ' l'?S'Vlr <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 />POOL/SPA <br />P{raplDrain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing i/4 ^/k rM '12fi? 41 <br />Final Gas Test <br />Meter Release <br />FINAL t/1 /tg 1tx ntrn*8 <br />Notes, Remarks Etc <br />,-| <br />c.-*.." X Ut4- <br />I A4 <br />UNDER GROUND <br />Pool Heater/Gas Line <br />I <br />I <br />l