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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS OWNtiR EUILDER DELCAiATION
<br />I h.E$y .Iim ud.. FElry ol Frjury thll I m .xopt lmo fi. Coirido6 Li..M Ltw for lhc lilhvin8 Ebn {S( 70ll ,
<br />Bu.iNs 5d Pmasio. Codc): Any C y or Conry -hkh Eq{r ! lcmr ro sNflr.r, .hd. mrmE, d.mlnt or ..,En .n,
<br />ntodE Fior to ils i.Mc. als rqurc! rh. @tlic. fitr rlch Fnn 16 frI. ! ..8Ed nrt.ffil ihd lE or sh. i li@.d l!.,ir!|
<br />to th. pmvirod of E Conrrrd! LieN.d Llw (Chl,td 9. Com.xins lirh Scdion 7(X$.fDiarir.I otlh. Aurin.s r.d
<br />Pof.sio.s Co&l or lh tt.rilE n ci.nfl lh.Et{n id fi. bui! fo. th. !lh!.d.r.,q!ron Anymllrionotseli.nToJl5hr.hy,
<br />,prlics.t lor r p.mr .ubjr{t lh. .pplioni lo i civil p.Mhy o I mt m.. rh.n fiv. hundEd &lldr ( Itm).
<br />-1.
<br />s oqmr of rh. pmFny, or my.rploF- piln w!88 e th.n ih omr.d.lhn, vill do llE frit.rxl0E rnr.tE i! mt
<br />iirotu orofis.d for El. (Sc.r044, AuriB ud PEf.sio Cde Th.Co 6ds!Lk.mLrw&Eimllpplylo.notunf
<br />rh. rrrcFrry *tE bill! o. inFo6 to6l! tn wh6 &6 Mh sn h,nklf or lEftlf or rtmsfi his or lEr om.noloydr.
<br />pmr'd.d rt t Nch inpmEatu e tul ndild or o,IEEd 6r -t. lt Lw.E. {lE hrildnB or rpltmrEd n mU wahin .N yw
<br />of6'r?ki,G ttF OpH Buil,.r wil trE tlE h!d6 ofpmving rtli lE m nE dil r hild o. inihE 0E DNFry tr tu F!F* of
<br />l, !sowrcrofrh. rilFny, !o.rcluilrlyco,xtrrins wnh lic.nrd co,rrRlor b oniruct rh. rmj.cr (Se ,(l{4, Bu'n*
<br />.ri Pnftiqm cod. Ih. Contrdoi s Lic.nr. Liw &d mr dDply ro M o*n.. of po,*ny slr h'ld. o, improv.r thdoll"
<br />lnrj stF @ Ers for och tfrJalr wirha c.d@ro(s, I'c.nrd Dmunl to rn Conlmcloir Li..N L.w)
<br />I am.r.nrnt ldq sarF
<br />llsrr
<br />!llBEIB!:gD[!]-!:!l!!.ll!li(!.1-8^lra
<br />Ih.tuhvrllnn .r n.mhv l|E.tun oD.,,lrlt lnl]Lnr n! d(Lrrrrl,ns
<br />I hav. stn will mintlin a Ccnif.irc of Conkii ro s.lf-lN!rc f.r wckdl 6rlP.nrlion. r! !'mvil.d aor h, Sarion 1700 .l rh.
<br />hhor Code tor lh. p.rfomr. of $. qfi fr stich rrE p.m t is.n
<br />_l har. rnd will mm{rr wor*.6 conp.nsblion iNErc., N EqliEd hy Sttion 1700 6flh! L!ho. cod.. fot lh. psfomtstu. ol
<br />th. wo* lor lthich rhie p.mn
<br />'s
<br />i!s.d My work6! omp.rsrion inomtuc 6tu !n F)ky numb.r m
<br />{rlt/s can'z-"'trL*oo 7? Tzoo <J
<br />I c.rlify lhat h llE r..aormarc. oflh. sorl tu which lhir p.mll ir i(u.d, I rhillm'.rrLy ony D.rmn rn any m.Er
<br />r r. h.com sbJ€cr to rh. ert6 snpdrdhn l.*e .fc.l'lotud, .nd .sR rhd if I rlFuld h.c.m onF( brh.
<br />wrrts' o'nn nqxotr pn'riii.di ol s(l ion l7m ol rh. bt r c.)d( I rlull. fonhw( h mmnly w'lh rln. tdvishtrr
<br />WARNIN(; Ii. ur. ro scur. mlt.R sr{ENrhr sv.68. rt u
<br />civil ,i..s u, lo o.. hundr.d ltsuEnd &llau (3100,000), in addi
<br />L rd ihlll $bFr u o0hFr b EiniEl Fdutks and
<br />$. o ofor.{.Eti.l\ d,m8d !i polid.d for lh.
<br />serion 1076 .f$. Lrtnr cod., inr.d rnd.nonEy
<br />rtcllaAllo!
<br />I h.rchy 0mnn und.r ndlty ol pgjury lhal I a'n lic.nx{ undn nmr$Borahrllrr elonm.N'n3 q h sd hn ?rmo) or l)'rirk'fl ll
<br />f rh. Bunn.*ind Pn,r6r.nrri,J., iRl m) l'(cnc. F m tulll,,R6,ncnirt
<br />eeToz-7G
<br />Z'//-/ (
<br />catfiaxcuaxl.}:xDllcll(illic!
<br />I heehl rllirnruodr. Il.nrhlofp.tur! rld rh6€tri con{tucrx,n kRl'n! !. y litr rh. td li'irnnrc IrlEsork[nwh'rhrhtrnnn Ll
<br />rnHl(Se 1097. ( r (-)
<br />aftuc ltll)[rl.llnauolt
<br />I ltniy a,llnn trNlr l.nak, o, n.rtury onc olrh. ini)*rn8 d.ch.irr)ns
<br />D.nlnIDn P.rnnk Ash.dor Norili.rron lr.d.rilR.suhrk,n. ( l l.,l0, P.n6)
<br />Ratur.d Ldcr.f Norli..r.n
<br />_lcdrryrhd rh. Ld.6l Elulari.nr Eamrlin8 &ihsros Rmv,l3r? R nrDlEahL ro lhh Fmj(ll
<br />-l
<br />c.nitlh.l I hav. rcld thir lppl,crr .rhar rhe !tnv. inli,mdtr'. $.,)mcr I .sre t. mnDly w,rh all C'r, rnd coonry
<br />o.drMEer ond Slatc Lossrchluqlo arxj h.rcht rtrriz. R r.snidn* olrhh Cnyand Colnly 1,, 016 uFrn rlt
<br />6bov. m.nrion d lot ny for
<br />App[.rnl or Aq.nl Slgtrrlo
<br />c. L 0/ J'
<br />,.,. 2-//.f /
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />I nterceplor/ Clarifier
<br />TOP OUT
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain Line
<br />Main Drain/Pool Piping
<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 t u,0,1 l,
<br />Final Gas Test
<br />Meter Release
<br />FINAL 1
<br />I {\t.} ,/
<br />Notes, Remarks, Etc
<br />,.,. 2'//'11
<br />L.nd.r'r Ad.h.s:
<br />Waste & Vent
<br />Tub/Shower Test
<br />'/tAi\l
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