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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />UNDER GHOUND
<br />1,t-4FWaste & Vent lotlt\rB
<br />Water-Under floor
<br />Area./Storm Drain
<br />lnterce orl Clarilier
<br />TOP OUT
<br />Waste & Vent tolSt\t7 u44@)
<br />Water Pi I
<br />Tub/Shower Test
<br />Rou h Water Heater
<br />POOUSPA
<br />P-tra Drain Line
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Lawn rinkler
<br />Back Flow Device
<br />Final Gas Test
<br />Meter Release
<br />I I
<br />Notes Remarks, Etc.
<br />FINAL
<br />r)r\ Nt.:R l I I)t.R l)I:L( \R\I.IONI hcrcby llii,m undrr pcnrlrt ol pc,iry rld I fln crc,nnr tnD rhc Coorn.r.n. Liccn\c hq tor rhc rol,,wins us; (S..70:]l 5
<br />Iiusir..s r t ltolts(ion c(xlcr: Any Cir, or CoDnry Nhrh rcqrtc\ n nc nir ro .otr{tucr_ {trcr. irnptuvc, &mni\h or rcprn sn!
<br />nru.lurc, rftr,, its issu.n.c. rl$ rcquncsrhcnmtic. lnr su.hFmir n, filcasi8trcd sar.,hnl lh hco, $. h tircn{d pu6u, .
<br />to rh. pmvi(ions ofrtr (tunr0rxn s Lnu*d lf,s (Chntrr 9, (..mrmncing \rirh Sccrirr 7m0 oi Diyi\io:t otrhc Busin.s\ ann
<br />Pmt$tun\ Codcrorrhar hco..hc ii cx.mp h.r.rronr and rh.iNi\ nn rh.lltcscri.rtrrrrrn AnrviototionorscdionT0.I5byuny
<br />upplicanrrbr l,xrnir sui,jcch l hc oltticd r io scivitpcn xyoinor morcrha firc hutrdr.ddothrsts5rx).
<br />-1,
<br />rs ownd ol rhc p('lrny. r, ml cmploy.rs s irh srXc\ ls I h.n (nc conrpcnsd i(rr. q i[ do thc trori a,xj rtE {turh N fr,rinrcnd or !lI. hd r{r c'L (SL{ 7t{J. Bu\ircs rnd I'ror'.\!ionr (lic 'r'h. C(,hcr,.s Lt.ctr{ uw doc\ n l rtpty ro M ownlr oflh.mrFny Iho noiu!.r invxn$ rhtrun. tukl wtr docs su.h solt hnnscti.r h.uctror rhmush t,, n, r,".."n
<br />"n,pt,,r..,.provdcd rhrr\urh i'ntmvcnrnr\ mld i,rrc Ln oroffcrcd to.s t I h)$crr. rlr hriunj[ or iq,mrcnrnr i\ q,Llsirh,n rc ]rdofconDkri([. t,E owncr Buil&r $ill h1vc rh. hutr,.nofpmvinE rhd h. a, shc did,rn r,ild o; iq,(;vc $c pnrrcny ti]r ttf, N{s* or
<br />L isnwm orrhc pn,r^-rty. mcrchsilclycotrr..iins wirh [.cn\.d conr]cron ro.onjru.r rhc pn+cr (Sc. 70,1. Burrcsxl t bfusi.n C.dc Thc C.nra.loi s Li.cn\c t.]tr (lo$ mr rpply b {n ou6 of prop.rry $ho hurtd\ or inrprovcs rhcr.Dn.rnn $ho.odtucahrsuchpn,lcchwirh!Conrn.bngticctrkdftr u rx)rhc(odtu.r,\t_iccn\uliw).
<br />?o**. X
<br />ai'iirnundfi rcnuhr of pcrjury om oflhc tb,lowirg dc.tuErions
<br />-l
<br />hnre uxl will mintlin a Ccrt iaolc or C6.snr to Scta-tn.!( for mrkB. $mp.nsarion. os lrovidcd tor by Sctio. t70o of rhc
<br />L:bor Codc, for rhc pcrlomErcc oarh. $orLor which th. pemil is isu.d.
<br />-l hNc md will n.inkin wortcn' co'nI.n\atio, insuEnc., ar Erloncd by Serion l7O0 of rlE t hor Codc. tor rhc pcrfordtr or
<br />rh. w6rk for whth rhis Fmi is is$.d. My wortss oqicnsarion insumm. fficr ard rDlicy number @:
<br />WARNING: Failurc r, scur. sorkcs comr..saion corBBc
<br />civ'l linc\ up ro om hundftl thnusantl dottm lSlOO.OoOr, ,n
<br />is untnwf!|, 5nd sh,ll subis an .mplorr ro clniral Ittunis &d
<br />n lo lhc .o{ oa.ompensation, dlelcs as provided for rh.::.rl+t/r :
<br />I hc'ciynlltnrndcr pcMllyofpcrJurr rhnr I rn ti.ctr{it !nrlcr p.visi(r .f Chrprcr g(c.nnNn.ng wirh Scclion 7fiX)) ot Divi\nrn j
<br />.l rhc Bun.c$]trd ltoLssttrNCodc. oi nytf,.n\c i\ ir,ir| ror.c ril.fic.r
<br />CONSTIIII('TION LENDINC ACFNCY
<br />I hcrtylrlimund.r frtultr.f rcrjry rhar rhcrc is a €onsflcri,n lcndins a8crcy ror rhc p.rformrcc orrhc $ork fq *hich rnn t*rmn nis{rd (Sec -1097. Civ C ).
<br />APPLI('ANT I)I'CLAR,{TI0N
<br />I l*rt'y r0lnn utrd.r r.nalrt ofF,jury oR orrhc nnbl,nrS d&tralions
<br />Dcmolirion Pcnnirs Arhcnos Norificliio. FcdcrrtRcpuldn,.\ (Tirlc 40. p!n6)
<br />R.qdied llrlcr of Norifrsriotr
<br />-l
<br />ccniry rhat thc ltdcml r.Fhrioni EBrdine nsb.slos rcmvd r. not uppticlbtc lo rhis pmjEl
<br />I .cfliry fi31 I h!v. rcad this cpllt.rio! atid star. rhor rrE ltow inaormiio. Lr .oir..l. I lgE to 6'irl, eith aI Cny md CoxnryordiE.ccs lnd Srar. bss El,ting ro huilding n.,6c ncrcby lurtsda rq"csnlllivcs oflhh ciryaod Cotnrylo cnr.r upoi rtE,bore m iomd ptupcny fo. insp.clio.
<br />Applic! or !.nlSlsNlu 4r!O
<br />Gas-Underfloor
<br />Building Sewer
<br />Gas Pipinq
<br />Rool Drain
<br />Main Drain/Pool Pipinq
<br />Miscellaneous
<br />Sanitary Sewer/Cap
<br />Rough Plumbinq
<br />.-
<br />lo
<br />I\nicy Nunrh.r:_!xnnc\: _
<br />_l.cnifyrhurinrhcpdfortunccoirhcworforu.hichrhnFnniri\ixsuc.Irhr norcnDloy,p.r$ninanynun.crv, ro b.om shF1 torh.rorkcB compcnsli()n tnw\ot'Crtifoi[ia. nd r8rcclhatit I str)utd hc&m \ubjccl r;rhe.dcr! conucnsiim pmltiatrs olSc.rion.lT0Oofrhc hhr Codc. tsh.[. tunhrirh c..dy wirh rho$ Irovisions..
<br />Li.cn\c Closs Li.dnsc Numh.r
<br />Drl. . Conrmclor
<br />tr.dcfs A.ldrss: _
<br />T?DVryT
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