APPROVALS DATE ID/SIG.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 Pi ptng
<br />Gas Piping
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P {rap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL blnlrq :U,{'tfl to,
<br />Notes Remarks, Etc.
<br />OWNER'UILDET DELCA'I TION
<br />I hd.t, llrm un&r rflry of F,l[y lhr I o aa4.
<br />'lD
<br />dE (onrrrdr' Li.6E lrr t, tlE t lloert ffi (Sd mJIi
<br />AulB .rd Pmtmo C.d.): A.y C(, or C@ny ,hrh Eqll6 . Fni ro ol.rBr, .h6. !qmE, rl.tElirt or EFr -ytlrude. rmr lo ilr iMM, rto E+Et rlE $Fli.ax to. iuch Ffri lo frk. i'lrEd rlcm tur lr n rt. i li.6r.d pllrulr
<br />ro tlE tmviriE of ,E CodrErd'' U6!.d t w (Ct+.d g. Cffiinr rrh S..rM 7000 of Dilirbn I of E A{iB.rd
<br />lmtn.B Cod.lft th.r l!d ar ir d.rSr dlEnm.,n rlF b-6 t rE nlltl dcqrbn Any bhlb. otsdin 7oJ I 5 ty.ny
<br />!,rplE tu r pmi xbj.(ri rlE rrplE ro . .ivil nctulry oltur mE rh!. ,le. huidEd .krthi (1500).
<br />-1.
<br />a ffi.f llE FEFry. d oy.rptrrG rah ord d 0Ei il onp.i!.Drl. rU & UE rrt -it ErnEE ! r{ddi.d ( 6tu &f 6L (Sc.?Ol4. asitB &d tbLmB Cod.: 'nE Conrr.rd! L.tr lrp.bB d ?tly lo o owE of
<br />rh. FftrEry wb Eilbor arwE s6[ rn $tD d66 *h s li*lf or lr*lror tlhlth hn d lE oq.frtb]r.(
<br />I'Fvil.n dd Et !$6ffi*d ddrLddoltrd tx -L l( lEH. r llildlr q.ryrffi rmldran-c )Eofoqllrs!0t(xrhlrbrilllrE.hrtloofFlvltd.lldirdddhildcrVrDEdrFlFiyt tltr{tFEof
<br />_1. alj.Edf rlE Frdrn d *ilEly ondrry *rh lisEd odErm lo o.iMI rlI FF (Sd ?Oaa. &m
<br />.!!d ,lol*h Cdq 'l t Conr-rd t tt.* t q d6.r mr qrl, ro - olF .f FFU rt hilrt q mpm6 fi.roa.nd er. 6nr..r. 61 4ch FFcr. wiih ! Co tulo(r) lh.frd l!tu I ro rh. Conr..rd , Lamr L!w)
<br />-l
<br />m .x.trg {.& Sdbn
<br />D.rr
<br />I h.r.hy.mm undd n mkyo,nsjury
<br />1l otuit |.\. c() Pr r\sa tl()ti
<br />orIldSallll!
<br />_l lrr .n s'!l tu'd.u . ('dr'ft.r. olcorxd lmE tr u,rd .drp.rDti,,\ n F$$d.d 6r lt, sdir Jlfir ol r
<br />L&. Cod.. tu tlr F6.r,rc. of rh. hrl fE .tEt E Fnir b irr.d
<br />_l ts a{ rill mi .i. wl6r' dfp.rElirn il.rc. . ,.qrid b, SGrm l70O otrh. l.'....or Co&, e. n|t Frr|lrE of
<br />lt. r6t &. rhi.h rli D.dr i irr.d MyEt r'oqEion rre 8irrd Fla., D! .rE
<br />Poliy Nun$d:_t&id
<br />I d'ry m
<br />'lE F6,r:rN of dF h.t t, snf,h rn.r Fd ir n E( I rldl mr .irlhy.ny FNn in rny nwi s lo ltom {hr.l lo llr $xt6 cxryldm hs ot( .litrM. .tn .eE rhd 'f I imld h<rr oqFd h tll*odd omFrslnn nmnod of S..ron l7O0 ol rh. llhtr cod.. t dxll. fonhr h 6n{'1, *dh rlo- pmsrhN
<br />ItaRnl:!(; l i' lur. h hrR tr urt.n' $n{rn\ k)n .o\.rlf. ,s unl,lu h' 1. ilt dnll hnl an dnllr!. r, lrtrn, lFlltE irtl
<br />.trl ,in.r un h ot hu lrnl rlrlxe l dollrr{ (1lrx),lx$), r x.Ll n'n tr rh. r( troDn.n\Jnin. rl!nn8.! x! pri*kld i)r ilE
<br />fcls.1076 of'lE lrtn cd&. i drnd
<br />[L!.Itltt.tlu:.,tm u,!.L. FEnt .I Frry I m lirE d u.&r FrMn .f clIlid I (6ffi'lB *nh sdr!. toml ot Ddm, l
<br />llL'nn.\\r ll'lo,l$rr (,x!. irl i\ l'.(tr\r '\ tr' hLl l,tr..rxlrll(r
<br />L'.r* Nunlrr:
<br />qo&uf,tcllltN.Ltllrl.lji-a0l:lct
<br />I Er.n\ r0nm unjd Fmhr oll..Ju4 rtv'l rn E !! onrtu1r'n lninr.tdy l,.lr D.rli,mr. orrlE uo.t ltr ntrh
<br />'h! F.r, !
<br />N!<l tsd 1097, (-rv c,
<br />AELICAtrI.TTCUSAITqB
<br />a hndtydfm uid.. Fr!, ofFr.t oE of r 6lbsnl..kldrm'
<br />D.tul ,n P.m!l''Alb.r.r Nir'rEdm l-.do! R.glblfN iTnk a0, P.n6)
<br />R<tuld Ldl(.fNr'fErm
<br />li, E rdiiB .a.do. ffivd & n'r +pli.rbL ro th. qmi.cr.
<br />irm ri .or. Ur rL &* in6n im a drrr I .rE ro 6q , eir!.ll Cay.!'.! Coury
<br />l!E5) lurlrrr. qt.* 16oIrhn(''ry
<br />W,rv 67^k?----
<br />Drr';,f,-4€
<br />PLUMBING.INSPECTOR RECORD
<br />Dir!:_
<br />lriid-r ArLta
<br />-
<br />Roof Drain
<br />Gas Service
|