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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNEN BU ILDER DELCARATI('N
<br />I h...lry !!Tm ui&r Frly of r.r!ry rltr I h a.f,ri ntm rli Cdn.(ro Lt6E t a 61 0E irlhrat l6n (Sd 70ll t
<br />Bui6r .!n Pm&sbn Cod.I An, Cny or C.uny whah rqlrB r Frn ro odrud. .!rd. rpmvq d.mInh or EU ry
<br />n,fu.pffiro . M,.t EqlElh.pl.d6,rrtFdto,iL.,ar.drr.lld lh.l ltq d. i litt d r!r$r
<br />io dE FvrbM of UE Corur&ld r Lien!.d L.w (Chq .r 9, CotlmrnS snh s.ci6. 7{xm of DM.6. I .f ltE BuiilK .nd
<br />Pmtr.m Co&l orrlll lE-tr r a.nrr rlrEtDn.,n rlr S..! tr rlE.lLr.d.r.qrm ry vDhrnn ofs.d-n 70ll tlryoy
<br />@lirrrt'r!Fmitubr.1!rlr.r?lr.d16.civilFdlrolmttuEfi$nEhlidicddolla.{ll0o)
<br />_1, u ow ol lh. FsFny. n my .m0hlB wilh E.gd s lh.n $k Ntr{EBdn,tr qll & llE *o* .,n llE nnd@ ! dn
<br />rr6rd.d otu lor.k (sc.7oaa. BatrB rn Pmf.snEcd. llr conr..rd r ljr* Le &6u*+tl,rdnox6ol
<br />rlE Ftny wlh hl'li d ntFE tlEq rd who &B Bh mdr himElf o. h.Mlf .r rllouth hir .r h6 oh .rrylor.6,
<br />nb!'d.d rh.r oclr Ernftn c d tr(n d (o,H tr sk I( lNw. r,r h'ld,r q EFnEET ! rU *.ii c rtiofdlrglli,\ tL O$F Brtlrl.r wiu h'k rlE h{&n ofF.vinS rlll lE .r {E dd mr lrild or urtmE rh. F.Fry tx tlr rturF* of
<br />_1, u owEof rlE FbFry, d d.nddysffi[! vnh lilGd ond6 h olirud llr Ford (ic 7(xr. &!!6
<br />.d Phtdr Cod. 't l* comr.ctoar L(cM li* <L6 mr qDly ro !n ovn.r orFqicn, stn bu'ldr or,rrm6 rhd6l!
<br />..d rlb ddr tr $h Fordr wnh . Cffidlrt lEfl.d Fl,rd h rh. Co'r,..rd r L.c tr*)
<br />l!m.r.q{ und..IdD. .li & F(- fo.rhn rcFn
<br />D.r. ot..r
<br />laa5!8ti:toufEdtaull!rEclr8dlra!
<br />I h.rcbyEinrmund.r nftlry of p.rpry oE ol rh. folt'v'n, &.L6hm
<br />_l hlE !d sru m.o . CdifE.l. of CoGr b S.lt lEa tr wl?. @nFndid\ r potd.d 6. by S<rnn lrm of {r
<br />t Li c.dc.6.rlE Fn trcof llE wt &.,t.h llt Fn! . ilrd
<br />-l hE .d ,ill di,r.in wld 6iFanb. i!fur. r Eqlind by S6rhn l7m oliE Lrhor Cod.. lor rtE FfmE of
<br />rlr wt 6r ,hEh rhr r.frn n -.d My 6ta orrEdn. itl|tld ffi ti ,bli.y nlir E
<br />',*AENcH6rlPP' /Es U
<br />(es'T sot4za(/-2 oZO
<br />_l cdi& th.r h rlr Frt'. d ol rlr ft.t 6r ohah rhs lxrmi 'r sr4 I rtrll 'br dpt'y &y D66 i. .,ry f,lE
<br />b ! 16 l'@E dFr i. {E *it6j onF.ldion Ls of c &mn r.d.sE rlla ill buH b...ft xbr.l l. rlt
<br />erl6J ol4.rEdrn pre9mB of ad6 rro0 of rll Lrhr c.d.. I aill tnhrrh o,qly wirn dD- previriB.
<br />nrh!. !o G@ wrtd'@lpctlcirn o618. ! {.hrnll .rn ndl rbi{r n .l!hF l. arid Frra.n
<br />ro c h$.H drEn doUB (l,m.oml, o ..nnhn ro rlE oi of oqrErioE &e3.r .r Fovilcd tu rlE
<br />frlE t Lr c.d., rrfri.d drqtly , tc.(,,"*,./{-/q %'rzf ,{uaez:atezl
<br />uclnsfn(-oNrr cmn
<br />TTCTJSAIIO!
<br />I hdl, r,rm ui&. rEEXy of F,lry tld I e lir6.d ud.r Fovirhn .f clqx6 9 (offiin8 wnh s.dsn 7{Do) of Drilion l
<br />of lh. BuliHr ..d Pmf{.B Cod., sn ny |rc.c ! n tull foN rd .,E l
<br />469te-z(.,*.-
<br />-Li.te
<br />Nofrt r
<br />>*,., ?-/s- /lDI
<br />calsullcl&trrllDllE-Acllcr
<br />t ha.5y .rIm unda Foly of Fily tid 0E t . otrelbn lndins t'cE, fti tlE Fforffi of lh. 6l ftt rhit fin Fli -
<br />irld (sa. 11,97, cn. c.).
<br />arpr rca T nlcr reATroN
<br />I hdrty .fm udd Fuly of p.rjury m or (E folh*h3 &rLr.lnnr:
<br />D.mlnn. PmrIArh.{G !*nifE.rnn !'.d6il R.8lLrb^r { lirL,O. P.n6)
<br />-R.quiEd
<br />Lclld of N.rif'olion
<br />-l
<br />6liry rhr rh. Ed...J Eguldbr ESrOra ^d.ior .fusl e ml 'oplsbk b lhn I'ol.rl
<br />-l
<br />6'ly tk I lrE Ed rnit .rDlidon rn !r.r. thr rlE dlv. inbnD.lhn ! cmr I .Sc to oopl, * h .ll cny !d counry
<br />odmm6 .!n S'd. Uwr Eh,B ro ll{rldrnr o ddi!( in h.r.l'y dlD ix ErEirrd6 or rhr Cry.in cddy ro di q$ r
<br />.lsE rilbEd omrE ly f.r
<br />(,or-. - ^.-,.n-,*(.-u**^.,,,,a7 /aoa.eA5Ety'
<br />8-/t- /v
<br />Waste & Vent
<br />Water-Under floor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />Waste & Vent
<br />Water Piping ?/a zJtq /brr/e3
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />)
<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 0h.t,l tq tu /c9
<br />Final Gas Test
<br />Meter Release rA
<br />FINAL t -26"11 \oVllfll
<br />Notes Remarks, Etc
<br />ID/SIG.
<br />UNDER GROUND
<br />Gas-Underfloor
<br />TOP OUT
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