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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.-COMMENTS OWNER AUIDER D!|TAR TION
<br />I b6.try.ftm ordd Fn ly or Fiurr rhr I m 6mF frnn tlt Coflt.ls Ltq4 l,s rot rlE tollosiiS t6,n (sd.rc!l.5
<br />Bci6r .d Prolsb. ( od.): Any Cir, .r Cou , whi.i rcqut6 . Fni to 6d{tod, .116. imF.\q dsnolirh or BFit oy
<br />nrud4 Fi'ro ir3 hleq rlo Equi6lfi.+pltol 6r klt Fni lo nh..i8Ed rr.6l illi ltor {r i licaE d FEsi
<br />rc E Fltirhd of rli Corndid. Li.6r.d r.* tct{n o, Cffihr rih S<ri{ 7@ of DiYirbn I of rlE BoiE lxl
<br />PEf*b6 Co.lcl s lhd lr or .lE i qoF rtqdm id rlr h.n! tu dE .lhcd dorgiti An, rbhir. .ls..rir mt I 5 I'v E!
<br />Fplk.ir lor r Fmi sti.t1i rlE .r?ti..r l. r civilFuly ofur mcllD fn. hurH &rlld (lt@)
<br />-1,
<br />. orc ofrh. ,i!Fr,. o ny drplorE wnh vraa s lh.l $b 6EF laiotr $i[ dt dE Nt 6d {E taE E ir tul
<br />ioi.d d oftrcd rd .b (s<.toL. BdiE .d Pt.trtd co& Tt (td-r(! Liu t! &6 ol ?sly ro i o$G of
<br />rh. FlFit dD hiLl n iryoctlEE rn dD &qrd wt hidlto. tr.dfqllmwi ti a lE 06 odott t
<br />,.oviLd $. st tFtrrd d Er i'rd!.ld dotu!.!b rE l( ls6q. rs. hl&tt a rsu'd a rU wilir d
<br />'-of.onphir! E o.c Eqilk wi! lrv! tE hnh! ofFovitg lhl h. q.lE dd Er hdd d hFo€ dt F!Ft, t r tlE F,F.. ol
<br />-1.
<br />! NG ofrlE FlFlr, fr d.rsndy odtd-t *it lt6.d oirrid lo 6!fiat llE Forci (S... 7oar. AliE
<br />d mirc.dc n!. conr*1of.la.c ls dE dr {plr ro., oac of FoFr, *tE hiLl d i6Pro6 rlE4
<br />ed *lb elrl-!. ftr si Foinr *i[ . coturrdl, li6.i Frud lo tt Coirrtd . riqc try)
<br />I m.rorr und6 s(rhn
<br />l).r.
<br />l!.OBlit.AL1l)lltf,:-itil.lla.)0t(I &ttlQ!
<br />|lE.l{rllir rndli pri,rlrr .l txrrtr\ o (rinthnl(r.nil a(h nnr
<br />, t.w rn wil Bi'n.h r C.rif.l. of CoMr lo Sdf-lB6 tr wrd 64drbo. . Fo{iLd tor by Sdbn ,lrlD of lh.
<br />t 6.r Code h. dE Ffrrffi of rlt 61 6. *iii llE FEi a is!d.
<br />Ihtr1c d{illma'nrn'n\ortm conlwBilFn,nrurotr(r trr r6l"n.d h\ S(tn. rrrxi tl rlE I l1[r (id.. i, thtF(nnxn.c.f
<br />lh. \ro,L nnshich rh6 ndnrir ii issuRl lll r.,lFs' .on{'!Tr$on ,n{r i e.clnia dEitx'l{r nu'nb6o.
<br />\,{t.\ ! tr,t{n\.i, 'rr,^ {\rl\(rN{ r1r',lrlk l , 'r r,,.1. ln'.'ll l rrr. l,., !t.\ r(hrh.{1","s'rtr
<br />l\,\RNlN(; lJlurc i) (rtr. \..rlas (ontm(nn..\or!. 'r Lnh\n'l 3 d rhtll {'l)|(r in mfk,ld (, onninil ndh6 r
<br />SA1k,n rorl, otrh.llhr ( i\d.. inrdd Md trtl,trN)'s fs
<br />\t,t1ti.rnr:
<br />Ll( FNStlr (oNlR t(1lrR
<br />!I(IABAII()!
<br />I hd(h, lmnn ndd p.nnh!orFoirtrtrhdt l,n licorsGl trn o ro\ii(,nof('hi s9lc.nn.6(rn3 \irhseri'n 7(xr0)otl)rrirun I
<br />of th. lluriK<.nd Pntlis'o6 ( ort., i,x! mr litm n in tull ({$ mi.fid
<br />coNsrRt('rl0ii I F\Dll\(: aGENCI
<br />I ha.hl irtih uftL r(Eh) of Fjn rhd rh6. s. ('d'tdhn lndiq trft\ fo. rh.Fn{rnffi. orrh. tr.lr tu qhtt rh. F 'r ir
<br />tsn.J ts( lu)7.(-n ( t
<br />UNDER GROUND
<br />Waste & Vent
<br />WaterUnder floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P{rap/Drain 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 / 7F|NAL 7/td 11f FZ ,taL:(?/0/
<br />lNotes, Remarks, Etc
<br />afruca[t lECuSaIro!
<br />I harby.trm tid6 tEn ty of prjury oe of lh. follo*iry dtlr ioE:
<br />Dotulirior Pmny^lbdd tftrifrdbn f.tb.l R.BUldbN (ThL,l0. t n6l
<br />-R.quia{ L.rl6 6, tJo.ihid
<br />I cqii! rlu rt f.d.trl c8lbioru tq.dltr Bbdor '@d e Fl 9l$U. lo rhi. FDi..i
<br />-l
<br />cdli& tltr I ha. 'qd lhi Tpliri'. rd nd.$r 0E.t \. i.fonrir ir ct! I {rc to @Ddy $nt.!l civ.ld Cool,
<br />odii.e6 .!d Slr. t.E EIir ro hliun! 6illtrr(iir! nd hd6, rrhoia ttF6.drn6 olihi' Ciy !d cod, ro cda l+o. dE
<br />.tos iGnioi.d FrFt, tor ilFiir FqE
<br />Appn6 or At6l Skr.rrG
<br />--
<br />Drl.
<br />Pdhi .u. trrhl)
<br />Tub/Shower Tesl
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