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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNOR BUII-DER DEI,CARATI(}N
<br />I hcrch, rtfid hdcr FnJry of Frjury lhal I un crc.fl lio'n lhc Co tu.t8 Li.{tr* Ltw hr rhc follo*ing rcav,n (s(.701 1 5
<br />Au\in.1\ ,rl Pn,fc*ion Cc\tcl: Any Cily o! CouDry shich rcqlnc{ r I.anir ro .otrshtcr, llrcr- imProvc. dc.x,hh ot Eluir y
<br />{flcrurc, pri, r, irs issu{ncc. aho.qFn r rhc sldtnnr ror\ucl lrnnn h filca si-lncd (ltcmnr lhlr hcot sh. h liccnsd nurflanr
<br />tu rI[ pn,vnnrn\ ol rlr Cotrrmclois Licen*d li! (Chaprcr 9. ConnncncinE lirh Sc.rion 70Ol) ol Division I otrh. Bu\incs{ trd
<br />Pma.s\nnrs Codc) or rh he orshc i\.rrm,, rhcicrromalx] rhcbaln nnrhc lllclcd crcnrfln,i aiyrn,hmnorsecrhn?0:115byuy
<br />eplicatrr aunpL.mir rubr..rsrhc rppli.unl t' a civil pc inroiool ntrdrhxn llrc hutrdr.ddolh6($500)
<br />-1.
<br />es o*ftr of thc Dn,Fny, u sy cnqrloyfts wilh *aa.s 6 lhcn st cooFtr{rion. will do ln wrted dt shr|m h mr
<br />int od.d or oflcrcd ld sk (Sc. 7Ol4. BlsituB dd Ptuf.ssions Codcr lE q,nt@lols Licnsc L!{ docs .ol ,,ply to e owtur of
<br />lt pmF ry *ho trilds d inFroB dErtr .d wh. .l&s su.h slt hituclt or h@lf or rhnrugh his ot b.r own.n{,lo}tc5.
<br />pFvkled thll slch aqmEErr. e mt hlcidcn dofdd f.r ek. ll howcwr, tlt blilding or nrpdEBd G $H qi$in om ra
<br />of@r!,hrio.. r,. OwM Bu +r will h,E llE hld.n of Fovir8 thlr h. or shc did n.l blild or iotrcE rh. popoly fo. dr Puqss of
<br />-t.
<br />as.*mof rhe opcrty. anr crclusivcly conlrucling wilh liccn*d conm.ros ro onslrucl thc Imi*l (Se 704!. S,nEss
<br />snd hohssbn Codc: ThcConrBcroas Liccrse llw docs.or apply ro oowncr of pm,'crry who builds o, inPmvcs lhcrcon,
<br />lnd eho conir&I3 ro. su.h pojcck qiri a ConrEcto(, liensc{ ,)uBrM! ro rh. Conhrols Li.cns t w).
<br />_t mcxcmpr udcr Setion- B. & P.C, for $h Bsr.
<br />uoasExtltoMPiltA.uoNpEcld.Saflo!
<br />I hcrcby amrn ud.r pcmlly of F.iury oE of rh. following .lc.L@ri6nri
<br />-l
<br />hrE rrd will .uinruin , Ccdirffrc oi clonE.l to Scll I tr\urc rbr *.' k$s ..m$ns,tion. is Providcd ior h, Sc.r t l7(x)ofihc
<br />lrbor CqL- to rhc pcrlorturd orrh. ro* ior shi.hrh. F-nnir is ir{'cd
<br />-l n v. lnd sill minrsiD so.kcN comFntarion iBurlmc. ar Equn d by Scclion 1700 of th. Llbor Cod.. for llE ,'crfnrmftc oa
<br />h wor*ra $npchs,rion insui0ne cari.r ud Inic, n!'nbd sc:
<br />( ,t,\\t
<br />-l
<br />anifythat ifl rhc pcrformmc of rhc w.rl( for *hich thk permi is nsucd.l ihall.or cnpl.y a.y p.6on in lny MNr
<br />s ds &! L.om sxbjccl ro lhc wortsl ompcnsution !!ss olcdif.6i,, aod a8E thd if I sholld bcco@ suhjer b llf,
<br />wrkdc comFnsarion pmvisions of S€ction l7{)0 olrhc tih, Codc,I slsll. fonhwithdmdy enh rh,e lmishns.
<br />IVARNING: F,ilur. lo *curc qorkcrr ampcnsllinn coq,!
<br />. 'l I'nc. up L, $. hundrcd rh.u\ trd dollrF {1llx,.rxrrr.
<br />sNrion :1076 ol rh. Lihor Cdc, inicrc( onn orromy\ rce{.
<br />sc h unhNaul. rnd shall subrcd !n )q ro aimin.l lcBlties $d
<br />,"."AUG l)3 201Ln,,,*.,
<br />I h-rby rtirm undcr renuhrofFrjxry rl'ar I ifl liccns.n pmvision of Chapr.r 9 (oomBinS wilh Scclion 70fl)) .f Divi3ion 3
<br />of lh! Ausimss and PmfcssionsCodc, dd my liccn* i! in rull r{trN.nl cri(l
<br />R t oo?ortz1'
<br />,",", AUIGa-UB lr,,{t,,-"*.rr,-
<br />IaNIIBI]qI{TNIENDIXC.ACEICT
<br />, heeby ltfrd n.ds Fmlly of Fiury lhal lhm is o conslturion hnding !8iEy for lhc lcrforene of lhc ert ror whi.h lnis lErni is
<br />iss!€d (Scc. lm7.Civ.C.)
<br />d.tfucANfDlicl\BAllttN
<br />I hcEby r0in! undcr Fnaxy ol p.rjuiy o.c orrh- r(nhwnrs d..lorlion(
<br />Dcftnirtun Pcflnih A\bc{or Noriri.iriotr Fi{lcral Rcfuhrlons ('lillc J0. l]n6)
<br />_Rrq0ircd lrrrcr of Norifi .ari).
<br />At (cnirrrhar I h,k Eadrh(Nppl icathnnd srslcrhlt lhc atDlc innnmnt,n !.onccl. I r8rc ro @ry,1y wilh sllCiiy rnd Coxnly
<br />ordinanccs md Srarc trsrrcLriisro buildin8 ivls ofuhis Cilyand Counly'o.mcr !r.o rtr
<br />obov€ e.riomd pmpcny td in.Frr ion purlres 1n10
<br />Applimnl or Alenl SiAnotu
<br />UNDER GHOUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildino Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouoh Water Heater
<br />POOL/SPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbinq fli+/rz s\ 9g
<br />Final Gas Test
<br />Meter Release
<br />FINAL 4/'t-q / fi ->DtX
<br />Notes, Remarks, Etc.
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />L.rtlcr ' Addrc$
<br />-
<br />-l
<br />.cniay rhd rhc fcndd rcerbrio.r Eglrdio8 eS.sbs rcmvd sc nol amli.rbb li, rhir pDj.ci
<br />JAUG 0,8
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