|
PLUMBING.INSPECTOR RECORD
<br />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 />sGas Pi in
<br />Roof Drain
<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 />Gas Service
<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 />EEFINAL
<br />OWNER AUIll'f, T DELCATATIOII
<br />I h.Eb, rffm u.dn Fsly .f Fiury rhd I m .x.irn fmm rh..Con6cl@ Ltae Ll, f., rlE $lhrrg t!e. (s..701I t
<br />Bui6i .nd Pmf*.n Cd.): A,y Cily or Cd y whi.h ,.qu6 . Fn, ro oM.u.( .116. iniroE &mlirh M qr, ry
<br />rnt<i@. rdro "r Bllrt. &. EqoiB rh. plEd 6rstFdro nLr !A!.d rd.ffi thrlror jE i liEi.d F(ar
<br />ro rli rm6iE of rlE Cmltio.i Le.{ t r ((14.n o, Clffia,g rnh S..rM 7(xI} of Diw-n I ol rlr BE'H .d
<br />Pmt aEnr C.d.) or rh.r L d .lE r q.n{l rh.Etlh un rll hr! 6r rll. .llq.d .rcq{bn Any hhn. ots..rs ,01 I t I'y sy
<br />lpplia f.r.pnn sbj*E th. lrphcd b !ortlFNlryof ml mc$.n liE ttrt'dEd d.lln lllm)
<br />_1. ! ffiol E ttqdry.d oy.nploJrd rinhlE -rlE -Lotp.rrm sill& rE** iddr rndE. rll
<br />inqnld no&..d tr.l (Se,oar. BulH &d ?t!ftriEcod.: llE Conrard r Li.t* t -doc.mtndyb-016.llll FrrEry i.lD hrilt tr fi!rcq tlEa !n r,b .iE irn w,t hmlf or lEElf c lhDud hn n l( oh .r9lortr,
<br />nmed.d rhd d.h impmrErlrr E ml idsrd.d otF .d tu aL lt truac, E ioildirB or htnrErEit i mU wilhin.* ,d
<br />ofontlki,\ ft OrE &ri6d $[ lrE tlE hrn6 olriovnr lli lE a ir dn dx hrild n ntrG dE ,(bF y lr tu FrFr 6f
<br />-1.
<br />tri dffi of lll FrrEiy. mq.hBEly $darllt $trh lern <tud h mtu dr FrF lsa 70,14, &!!H
<br />r hn*eh cod.: 'l h. Co.trdo l.r.n* t,.w &n mt .r'nlr ro M oeE of p6Fnt wh' hu'ld! 6r 'mph6 iEr6n.
<br />rnd etF 6,rd! for och nmFl' *nh . (.{drrronr) li..rf,n roltd k' rlE Co ftrq r Lim* t s)
<br />l).r. ()rn..
<br />l!!)Blif,&tg)llttlta,llu!
<br />Df,(TAf,III!,lI1
<br />I k'.hr illn ufrL. n ulr t nl ndl!^ dr.Llk l()ll,q i,t J(lirr[.nr
<br />-l
<br />IEE ud w'll mmir. Cd'lt r. of CoEi b S.lGl!re 6, wro @rFuaid. $ ,tled.d tu by Scrion l70O of rh.
<br />Ltb.r c.dc fq rh. pdfnff. . f rlE el* t r whth rrr r.tu i mr.d.
<br />_l hE ]n r'll r"nt', wto qxluni'Elm.r Eqo,.d b! s..!M l7mol.lE l.lsco<L. tlr llr rE6.t!re.f
<br />llE srt frr d.h lh! Fnr ! cld My rqta o,p.dm n'lm ffi !n d.y dr$.. c
<br />I cd'li rhd rh
<br />'rk tdfolmr. nf rrE $ort Glr *h*h rhr rEm( r Bo.d. I dsll n, .i{'lot.ny Fsn 'n.n} nffi
<br />$ nr b t'd'ft {l'Fr tr rh. *odd' o'mrEn!.lnn hwi ol c.l,nmr lid .*r rhd rr I +nuB lEsrd {bJ..r ro rlE
<br />rr, dJ d'nl.nqihnth$idNofs<lnn l7l)oorrh.l,tnr O{L, Ltrll hnh*nhdq yr{nrbrlmvFnd
<br />0di l {6t!1 0 apbF ro o"rEl Ffll6.tnr of onBEMrh[ d.mg6.r ,Nvn.n tr, ir
<br />l ,'li t !{1. n.tu\r,trtr!ino' u I
<br />E
<br />I h.Ghy lmrm und.r p.Nlry of p..jury th.l I am nc.nE! undd ir$eii f chlpld e(mnndru wrlh Sdhn Tlxx))of DNron I
<br />or rlE BuiB !r'd,DE!i,B Cod.. r'd my l.ce n 6 tu hr.n.fi..r
<br />c1v 5r-?ErL(
<br />o".2 ,.:>t4
<br />I h.r.h\ rnnmufri.r p.,ulryotIirttrn rhn rh.{. r r i'nnrudi,n
<br />riu.rl lsr. l0r)7, (-rr c )
<br />v ttr r lE psn,nFr! or rh( u'orl itrshrhrh'rFmi E
<br />lrrr rcdtr Dlrcr a&trTtoN
<br />t hdrtry.trnnund.r ,l t, of rEiuiy oE of rlE tolhritrt d..h.rrrE:
<br />D.mh.n Pmn}Arl'.ic th'fr.Im t.d.nl R.tdim {r'rk ao. Pd6l
<br />-Rcqu'En
<br />L.lr.r of Nxfdiln
<br />ins.trno! @rvrlG d {rl..hL b lhn pmF
<br />-l
<br />.qt'fy 0r I Lc ,qd rhb ! cotrRl I r€ra h mq,lJ *ih lll (''rt ,nd (_,,unrt
<br />ordrMB6.nd sr!r. t w! EhdB &'lxtr,/r knr.\. rr!1.1.1rln\ ( irl rnd ( dr
<br />ltnE nMnn d loFny litr
<br />App[.rnr or Alor slt..hR:-,.q9 )i;;--^-
<br />tllIIAIIEEqEI
<br />Notes, Remarks, Etc.
|