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APPROVALS DATE tD/stG.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 />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<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
<br />Final Gas Test
<br />Meter Release I (
<br />FINAL E
<br />Notes, Remarks, Etc \
<br />OWNER AUILDET DELCA.NAT()N
<br />I lEEby.,Im u.&r I'dI, otF rury rhr I d a.ntx tb6 rlr Cotn[d@' rra!. lrq k|r rh rolo*r,g Enf,1se.?O]l.t .
<br />Buii6r .d Psftr.b. C.d.I A.y (ily or Cdlry rh.h EqDiE r Fd 16 6dnrd. nld, 6rmE, &mlir,lt or EFn xy
<br />|rrudm. Fir lo n mrrE . rto rqrd rlI ,plid frr sh Fmn b ttk . r'gEd lmln lrl Ir or rt i lEind ltn ll
<br />ro rlE FoEod of 0E c6.rrErd t Li6.d tlr (c|!.alr 0. Co,GEtB rnn sd6 ,(I,o ol Drit.. I o, $. aurEs .d
<br />Pbf.n-d Coibrdtli lr(ir r.r.nq lhdltsh!n E h.rit i'r tlE .lLr.d .r6qnir Any mldm ofs.dDi 70,I I by..y
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<br />-1,
<br />- ffiofllEFFrr,a,!y.,?h!Bfi[rrasutl ik 6rF-bl\ ril.b ttr Et rn 0i rnnE. dx
<br />.r!d dofirnd tr -L (Sc.70{a. BuiErn PntrituCod. Th.Cdlndd. Liff Lr.h- Dt nply t {o'Go[
<br />lh. FlFry iD hrE d.rEE dEq[.n rlD dsrdr Et tiell- lErlf or lllsrr, hi. a lE .ft d$l,F.r.
<br />Fov'd.dlL si nF,EEnr e 6r .idiLd 6olti.d 6..l.- l( bcE, drLi94a-sDEEi.-E!t tnd r-olorElt (t d! 016 E{ab '{ lrr tu hr&r orFrir dr lE a lE.lil.E hr! q ltlrlt rlt FlFry E dr FrF-ol
<br />l. -lffiolrlrF.Fir. hdchaE (dr.d!rl * hlE edffiloodr*l rllrhF (s€ 7ola. &m
<br />oi httrn co& l n coir*td r Lff Lrs d6 Er +rly ro - 6rF of prcFny wln tilildr d ','prq!- rls6r
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<br />Itg85ltltAUllStArAB
<br />DECL RT{TION
<br />I h.rny rmrm undc. Fdhy .fldiury.r oflh. folhwi.g d(lmrio8:
<br />_l h& &d *rll fli.r.m. C.nifEr. of ConHr k' S.lflM &r wqtat onpadion r Fovi.kn t'r by Scrhn !700.f rlE
<br />ltl cod.. ftr rh. Ffoilrd otrtE mlt tu whai E p6rir ir iq.d
<br />-l
<br />h.E.nd wll di.lln wo*.n $or'.d.r.n r.Me, s EtuiEd hy Setnn l7m of llE ljbor (td.. [r rlt Ft tllR of
<br />rtraEE. cMir rrd FlK, tumhc e
<br />_l cln'ry ull n dE F&tlId oflh. m.t rt.n $n F Da a i-rd. I trll d drghy r.y Fmn in D, ffi
<br />$ - lo lEsm otF lo llr u,tdl tk ofc.lifomi !d {r lhr
<br />'t
<br />I rtr{ld h...m $br.t b rlr
<br />Nn6 oqE-rrn Flritid orsdon lr0o of rlr LrlE Codc I .ld[ r{drih oillly rrt tLE F.mM
<br />n unr.xtuL .rn ibll ohF a drlhF L srErl DdrlE.ri
<br />cinl f6 ur lo * tui4ld rhoq,ld .blLr (ll in ..ldirb. b 'tl sr of oErE!-rih
<br />t.r,n /
<br />l]|L,rAL}.[P:
<br />I h.r.5, .ffm u.dd Frly of F,lry Ur I & lied ud6 Fwiotr ofctorE 9 (En!6n| enh S.ci.o ?0Oo) of Dairin I
<br />of dr auiE' .d ,o&d'E Co&. -d n, li. 6 i! ill &r !n .ttc!
<br />," $?tt {rl
<br />4 /,-^ 2 *-
<br />I h?li, rtlrd o,i.r Fdyof Frrrrydlr iE ir.o ruaih ldrd4 r!try 6r iE tatutEE of rh. wt tueni.{tlh.Fit a
<br />ir-.{ (S-. J097, Civ. C.)
<br />AIIIJC/TULDECLIAIIo!
<br />I Hr.6n u'& Frry orFir, olr ol tll blloriaa &.triE:
<br />D.@Lb. ft.oa.Att ra t{oli6.dir t!&.1 R4ul.ir (IiL {1, ?116)
<br />-R.qi
<br />d tlrln ot tbihi!
<br />-l
<br />Er.ry rfi. rlr d.ri r.rxbrnB in d'is lrtx{oi ,wql d Er ,rrlirl* h rh! FF
<br />-l
<br />6arrt rlr I lrE rad tlE +dEr6 tn .r. lL 0E rbow utliErih t @.nd I .!r- lo ondy rah dl Cny .!n Co!,ry
<br />ddEm rd Sr.r. t s Ell,r rotbv.6rbEd FoFy tx
<br />e;:/ib ,-(
<br />::_z;ru
<br />trEilYr),i1lt:Whl
<br />PLUMBING.INSPECTOR RECORD
<br />rh. w.t nr *h.h lh'r F.mn t rq,.d My wtdt-
<br />l^i)"')o7rr17t,
<br />Waste & Vent
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