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APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND ,l I
<br />5t4trh I 7t
<br />Water-Under lloor
<br />Gas-Underfloor
<br />Buildino Sewer
<br />Area,/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT lt r .l
<br />Waste & Vent Et9fiE I t
<br />Water Pipino 5-Y-ty
<br />Gas Pipinq
<br />Roof Drarn
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<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 />Waler Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbinq s"Y-tV I
<br />Final Gas Test uA
<br />FINAL 1 l'tt l11
<br />Notes, Remarks, Etc.
<br />-
<br />f,
<br />-
<br />PLUMBING-INSPECTOR RECORD
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<br />nuim. Fg t, nt 6sunr, ila mqtm. rlx +plk.nt for rEh Fmd t, fik r riSBd qr.m rtur lE or rlF 6 lt...rl ,,uMr
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<br />il]trh.rnr rr rrrn $n.(lrrh.ol|plklnrlorcivilp.n y.rn frftrhm rivc hundrcd dollc^ l !tlx,
<br />-1.
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<br />dEFi''dty rlDt lb q lgoErlEE.. rn rb dG.* rid hiEltd lEIlld ti!4! rn d b tn.!PbF&
<br />Fvrr.d llrl ia5 l'quqarc d irqdd.tu 6. -li lt' no*G.rltt! -tqirFtutqr br{r{Ec ]E
<br />of ..qEiE 1,. OrE Boilrr d! lrE dr hl&r d Fwit d. lt d a. dU 6l Lfl a iqDl iE Fqdr, tt lb F FE.{
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<br />.AIIBf,E8S:STUIBTAIq!
<br />DECIJXA.IIII!
<br />I h€Eby rllirm undcr l,.Mlry oa pcrlry or aI rh. rolbwinE ddlsalarN:
<br />-l
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<br />-l lrE.d,ill mir.b wtd 6np.ddrr iM.. s E+r!d b, s<tb.l?@ ollb l5r C.iL.6.ln. FfortlEt oi
<br />dE wt tr d*h 0t FEi i' Ad Mr El6'6ieat{it i!!rcqda.d poliy 6ttt rG
<br />ta\<-F.*.,..\
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<br />-l€rirytur
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<br />E sro t@E rnF! lncLrdtd @nF .ir lr.of C.liftitri. rd gtlt LI.lF{l ld@ diil etdE
<br />6la oq.drbr Ifrriri6 ot S<rL. lr0 ot rlE trtd Codr- I lr[ lb.rnr,tt @.91, alt dD- FlLiE .
<br />WAINI]! : FribE ro EG krta! @mF rdir @EE!! ir hh*tu|. !n fi! Ebirl u .qloF lo ailirl Frlli rd
<br />cMl nrc. up ro oE ludH rtou.,rd dolltr (slm.ljo). in ddniln b llE 6rr of 6r9.!dhtr d.d|!. ! FD .Ld for lh.
<br />Seri.rn 3016 ol tlE IrtM Codc. l,rc( rnd lnlmvr tuc..; ,li11\lL-^*-., tZl.,,trch lM,t<[ r €Z-
<br />lJlgfglGllllliiGtrll
<br />DEGIIIAITON
<br />I iat5y .rm oi&r Fdly ol Firy dr I d lr'nd otrld Fotirb. .f Orpl6 9loffiiir rat S.cit d)) ol Dnirh. I
<br />of d. BlriB .rn Phft-ioN C.r,., .ri trry litr L i tu! fod .n dt<r.
<br />D +lolkq q
<br />L5 I 8 .-,L
<br />gllErlllqxnuae[li.arilEcr
<br />t ltrty .tfri utt& Fnly or p6iry ttd rhdr b . .d.Elbn bnt l|!r, e. dE Ffn.tlE oa dn 6t fti rttn dlil Frd r
<br />iild (Se. 109r. Civ C.,.
<br />AITLIIXNI.DE!:I48AIIA
<br />I hdtby .n'm un&r Fnrlr, ol Fr,r, or of rh. ftnbrinl .krLflbn.
<br />DGmkion Ptmnr.Artdro. t*xirEdio. tu nl R.roLlim Onk /o, P{r6,
<br />_RcqniEd lrrid of ttuifdnr
<br />]EAl.ciiry ti.r 'tr r.dorl Estrbri.nr EB.'ni.s .rb.{ns Em$l & mr q,pli..bL ro rhir pn,td
<br />I rd!'fyrh,r lhrr rcal riir rnl ni. rh,r rl[ rhr. mnr !rr \.,(r..r lrgrrt,.trmpl\*nhrll(-'rtrtr(l(i{nnr
<br />dnirmfi.'n Sd. t *! EliE lo c.tr{turnn. rd lFrr'hy dur
<br />rrhE rdbEn F r.ny ln
<br />**u- --.,rn E u61JD ^E?---.
<br />:"IGIr'
<br />Waste & Vent
<br />IA
<br />Meter Release
<br />lfr ** 2p ll
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