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PLUMBING.INSPECTOR RECORD <br />UO NTSAPPROVALSDATEID/SIG.OWNCR BUILDET DELCA* TION <br />I hfrbt .rm !d.r Frly of Fiay th. I n 6.,qr fmm llE cdrr*r6 !i.!E L* ili llt t l6oig .tah (s.. ?llJ! , <br />Bu'lEg ]n Pm6rir. Cod.I Ary C!r, or C tr, rtth ,q!id . Fnr rd @dnrr. .Id, nqnrq rlmlilh d EF, D, <br />dddE,,,rtr16 in !sM. !!o Eq'ici rlE qrnlEot t'. o.h F@l lo fi|..rrEd llftmd i lEot.lEtlio:d |trNrr <br />ro rL FovtbE .f rt C.ir.8o. r Lie$.d Lr, (Ct+rd 9. Cll.lmEeg Bnh S.d6. ?000 of Divithn , ol ll! Bu.i6 .rd <br />rDllFdcod.)nfii lld tE ! .'dtr rlEtmld oEt r.6rrlr.lt r.d d!r+m Arry hbln otsetm 70rl ttyD' <br />.IFlic.tr for r Fmit bix,rr rh t,plmnrt .civil p.EhyofNr mE rh.. fiv. h,!dr.d.lo[.tr ($rm) <br />-1. <br />d ffiof rlE FoFrr. d ny ct4brc fih *.sB t dE nt onFr.{! wi!d, rh Et ri EridE ! rbr <br />ft.rd.d dotut .b(Sc 70a4, Atffi.ri Pmf.!mc.d.: llrcodrxid r Lilm Lrr &-ril q"rl.&o'6ot <br />rh.pmp.ny q,tblltr& in{mErroi. ad *ln dG irhq* himlf.r lx*lfo.lhduth hit orlEoM.r$hy.a. <br />Fovit d rh.r uh riO.orEE ue.tr ri,n ddotk tr -l.. l(, Effi. tlt t{tldq o ivltcn.ild,rhn* F <br />ofqrpLua dr o'E &ri!. q[ liE 0r hr{d .rFvrr {r l! d lE d'd d hrld d .rFsE dr Frd, 6. dr FrFE.f <br />_1..ffiol E Frosty. edctu,El, c,t-r.r rft lGEd Exrtldto s"r.r!d r Fbixr (Se.,t|.. &ffi <br />nl hst*.r Co<t ' 'l lE Cod.xr' t La.e t ,d(s mr +tl, io Dorffi olFoFny atn boildr o. rFmE thdw! <br />.nd who or{Err for Mh tmj.dr w hrC. r*lo(.,lNnr.{ p!run r.rh. (o,incld'r Lim l,w). <br />I m.tcn{i unLr sdo. .lr rtP( [,rh!!.!en <br />D.r. (rsrcrl <br />wo*l(f al, cof, tl| f NsaTtoN <br />lECtdSArM <br />I llEhy r mrh udn Frlry of F)ury oft of Etut,wmBd..Lnrbm <br />-l <br />lrt' rn ''ll nurth r Csr'rsr. orcorEr lo S.lf-l,.E ij. Ef@ @rFrii,r r Fvi.d tf, hr S<tio. l?0o of E <br />t 6r.a.dq ft' dE Ftr|rre. olllE q,t 6. rfiEh ttE Fnr . Ed. <br />al trE.d *'ll rur.in E td o6D. dnn uffi(. Eqotld b, sdion lro0 of {E t,t r Co&. tlr llE Fft.ffi of <br />wAf,lIlNC FrlF r. i.G stnr omp.rdF o\q,. n !,txtuL dn rlrl rbx.r o aqioF b d rl FnlE ltd <br />cMl 6mr utl ro m lld,ld rhoutrn 6 e It100,000,. h ..dnion 16 'h. dn 6f 6r+.dio[ &mt6 u ,rrvd.d *n li. <br />S..hn !l)76ofrh.l Ah, (d( rd.rc{ dtrl.ronq r <br />-3-t/- t f <br />r].lllal.r!2} <br />I hdlby .firn ur& Fa.Iy of Firy th. I o lEd @.1, Flii'ir ofcl4.o o (clltlrEry *nn s..rih ?qlt ollriEm l <br />ot 0E auiE ..d PDtnir Co&, .n 6y lilc . in fttl t,E id.f&.r <br />LtrCb! Z (}L 2 3 ( <br />^, -X-ll-L1 <br />rl)l:larl.rulurulla1,lll] <br />I lftht .lTm urd.r Fully of Frlry ti tlEr ! r otrr Er.n Ltldir latry 8r llt rEfoffi .f llE el l'. slth rhn FEit ir <br />N.d (!* Iqr. cr c ) <br />atllJcAlr.DlclaEAllo! <br />I nr$y.&h urd.r Friy of Frr!, m df ltr &llorin3 .lebrllim <br />D.mh.n P6 ar^.6.rd tlorfErE flddrl R.luLrm l.InL to. Pd6l <br />-n4uiEd <br />t.rld of t*lrifi dlbn <br />_l c.n'ry rfir rlr H.El Fslhnd qrdi4 r{ind lfful e tI| {dt bL <br />'o <br />rh! p6irr <br />-l <br />€riryrh t t& rad ,r'.OC!c!te rd d. thl tE.lhE n&rnrs t oftd. I lxr L onfly ?ah lll Cny.,!d C.My <br />rudr4 rd hftby dlIm Es*driB ot rhr Cny &d C{,cry h d6 qrr <br />'lE <br />"Y <br />,,,,, 3- / t- /? <br />ddllt.lE !d 9r. L-r clrr.q h/ild,\r $d <br />.b.k 6'."*d e-Fn, 6, <br />?an" p.: <br />Ar9[.x.r Ar-r SlI.rri I L'' <br />", r*- .,r*n t/-fui C Con* <br />UNDER GROUNO <br />Waste & Vent <br />Water-Under 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 />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipino <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 ,r/u//4 frntNk 16v <br />Final Gas Test <br />Meter Release <br />FINAL *tr //q frm2/P'/h--- <br />Notes, Remarks, Etc t <br />6 Wl 7rz-aZAq^ <br />dr 6t 6. aii.[ rL ord r r.r.d MyEra ryitrGffi rd Fl., rrDD6 c.* dnls o f t./< t /- , <br />^r- <br />-t <br />6it drt i, lh. F6ffi otti. h* &( 'tth dir FDI i laEl I lrll er 69by &, ,<-n h uy ffi <br />- ilo l@c rli.Et to tlr rti/.o.e.rin Srofcdibni. tld ry€ th. atl tu5 h@ rtF bdE <br />ft*?i dlFnih FoEir of s...i[ t?O of tE L&. Cod..l filL ftidridr oolayrlh 0!.. Ftiir <br />l,d6'r Add* <br />- <br />ru*/v1-_