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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS (,WNEB BUTLDER I'EI,('AR IION
<br />I ncr.hy lllirm untlcr rMlry of FI)!ry rhar I m .rlnlpr rr,n rr* (i,nrrsdoB l-ken{ ljw ntr rhc trllo*ins rco$n ls.r Toll i
<br />Bn.im\\ rni Pn'f.srnr (iii.r: Any Cny ur Counry $hih Equn.r ! Fnrnr to drn{rud. !lr€. irrrovc- d.mrnh ,tr EI,JU .n,
<br />itulurc. Fr, k, r xrmc. d$ Elund rh. .|'ll.rd tu, qh F.d r' ril r n3rn rl,t.E.l 'nI l.or slt ( la.n<n plrud.
<br />to rtE Forn$n{ ol rlr (ixrEtn r I tn<n ll* r(fi.F.r 9. (ilrftNma snh S(rnn rfil) ol l)'r6rn I ol rh. 6uftr\ rrd
<br />Pft,ra$i)nt (iir)orrhnt lrrstE n.rr'nr rlE.cfirm rftl rhc bdnr t,trrh. altt.tl.t.mrriD AnytDLiknofSdr[n70]l5htm,
<br />0npli.!.' ntr r p.mil{uh,c(lrlhc arpli.anl k' advilIrtrllry.rnor nrrclhui ii!. ho,ktrcd dollri (l5mr
<br />-l
<br />u lru of ft FE!.ny, d rr.ltpbFr rlt r.Gr s dEi rol @.D.dbi! r0 & tlE Et .il !r drEuE it mr
<br />ird dotlEd b..t{se.ma4AldE .ndP|otr$Bc.rETlrcm-ru.tiELa&..dqdyb-ffi ot
<br />tlE FrFr, *ho toilL d hFt6 tlEa!.n.bdc rdr Et hlErd ltclr6 ftlo!,t tti' a h.r oE.qbFG.
<br />provihd llll fth llt ocEih c d irdi.d dolt d 6r cl ll.|rffi. ttE ttr&llI, ilP.omEd i -ld Phr'h m ]d
<br />oforglnltl' th. OrE Brdl,a wiu h.E rll hlrb ol Fovle lh lr d tr dn Dl hri! d iryoE !E FoFr, ti tlE F4on of
<br />I. ar n$ 'E u( r h. FDtEnt. .fl cr(lNtrc\ co.t rlr., I h la.B{ (ud,{r.r t, .r,n!u1 lrE In,rl{r i SN ?(}1.1. llu\ims
<br />rnd l)ltniNmCod.:'th. (i,nr!rxr'r l,r.n{c l,o* d.6 ftn mply x' rn o$ncr ofpr'r.dy shr hulldr or itD(r.ihtrdnr.
<br />lnd {h, cohrhrG lff nkh !x)j(rs *ih ! G,ntdon \ r li.na{ !!Fud b rh. (in ,!(tr r 1.i..{ ljr )
<br />Drl. (ritr
<br />BlrBf,!>)![llsArloND!CLAt( ',I',t(lN
<br />I lt(br rl,trnr uBl.r Ii'ulrl ol lirju,y o'r ol rhc n,ll)f,mS JNlftrrfl
<br />I hN.rnl f,rll'unnurn r C.d'l-r!r. rr (i,n{irr' Srll ln{uR n, {or\$ co'rix.\rrtrr. !\ litndd li, ht SNr{ 17( ol rh
<br />lnhtr {iilr. ktr rhc lEnflro(..frh( {o,k fttr eh'.h ih. Ixrn,it ir i\{'r,l
<br />Ihf,\rrnlf,,llm'nr nf,orld!.o,r!itr\!rkrnrn\fiJftr.!\r$odI'yS.d{'nrTlrrorrh.lrhn(iic.fitrrlklirl,trnunr.l
<br />rti Finn n iqqr M, r6ta @nFrrir im.tE 6ir rn Fli, Nntd R
<br />\,JL I
<br />t{UU C{)q 1
<br />I..n'tyrhrrnrrhfirrt{Nrfrc,'lll.tr.,tirrhihrln\Il(,rndtr^{rJ.|\hrl]rxi. {k,\ !r! l{rvtr' 'n
<br />ri\ utr{,
<br />$^t'Ir( D$lrt(tr'rhqork!^'.on'Fn\nrxn'1,,"\.r(nlik"n.itr,lrgr..rhnr,lI\h'uldh.c *\uhEttI'rlr
<br />tr orl.^' ( ontrtr\rr i,tr' t,n\ ^tr)n\
<br />ol S.don r7m rl rth I trhr ('{xlr. I \h,ll. i,f hq I l' (nnIly e rrh rht |tirr\(nr
<br />.Ml limr !p ro oE hundcd rrbu{nd doll,r (Slfr),frr,, i. .dddrn b llE corl of onFEl
<br />illT':flfrffififr:*l
<br />I lErcby lrfirm uid.. Fully or Friury rh.r I m lt nrn undc. Friri'i nr Ctupro 9 krnffirn8 snh sclnn r(xl) ol Divist,n l
<br />of rh. Bu{m{s ant Pnna.ri,ns Cod., lrl my lacnc i in full n,ft drl cllacr
<br />I ooql $q
<br />(i,n,.kr,tr lz .y"t r'-O-
<br />sq^6llltrrqu&@trE AGlal:IItalt,ltrtiurldFri,ofFrjlrt$rdE!Lt@{rBrb.tdlf.fsr,6rtlrFrtoE|Eo,ttrEttoi*li.n6iFda
<br />t!'Ed (Se. 30r. Civ. C.).
<br />APPI 'CANT
<br />NFCLAEANON
<br />I Hry rrtrr udld FMh, of F iury oE ol
<br />',E
<br />folhsinr &{LErhnl
<br />D.m,lnr{ Iktu(.Art ror Ndirrdo. td.nl Rctohranrl1ik t0. Pd6r
<br />Rcq!ftd tlndorMrirtirr
<br />ffi,rtyrhlrrtE l.&,ulrd3u[rinnntlrdingr\h({d\i.trrirlur nor r$lirbk L' rhn t'n)rc.r
<br />rh.r I trr B.d rhir .@li:.!i, .d {n rl{
<br />'lE
<br />.lbE inr.tr.m i .nr{t I .|rE ro 6'i?t *irlr .tl Ct, .'d C.dy
<br />LtrJrJh..,trkt srn.l.,\t h.L rt kr trildi.! mnturir^ !d EFdnri6 of ttlr Ci, rd Cc!r, lo .!ro rF. llr
<br />,rl^(,( niitrtr, ulli'L'tx1rr ntr hlt.ri(n,',;,, r-r J-.l n al'l
<br />l1
<br />UNDER GHOUND
<br />Waste & Vent
<br />Water-Under f loor
<br />Gas-Underlloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipino
<br />Rool Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool HeateriGas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbinq {/r ./n 5.v &-aga
<br />Final Gas Test
<br />Meter Release
<br />FINAL ffi /trr Ab /^6>+6
<br />Notes, Remarks, Etc.
<br />t'
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<br />Yl
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