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PLUMBING-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent tu/9/t(5\e<
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rou gh 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 (5Nf#
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap 5t\fi
<br />Back Flow Device
<br />Rough Plumbing /rt-/tt I il'6'l
<br />Final Gas Test , t ,l-f?
<br />Meter Release ruAti
<br />FINAL t I ,//n{t )
<br />OWNER IUILOER DIIT'Ai T'TON
<br />I hdd!, .flim !nd.r FElr, of p.rjory thd I d d.n$ toh ft. Co,fi.cl6 Li.oF Lrw hr rlE folhwir{ .{'r (Se.7t ll ,
<br />aBift! .rd Pekoi Codc) Ai, Cny or Cotry rfah EqulB . Fni ro orinE .ld. lrinE &!rll$ d ,F.r Dy
<br />rnsiur. Fs ro d! 'l!E,& Ei'rE dr +tlirr 6. eh FEi r. rll.. {r!.n rrar lLlEGJErl6i.d ro.ur
<br />ro ttl Flvn.B ot dr C.dr-!or'r Li6r.d L.* {Clupr6 I, Coffiint enh Sc.rbn 7Om of Diqlbn I ol ilE Bui'g .nd
<br />PoLniou Cod.) or th.r lE o, CE ir q.npr $.Etno .,rd llE t ri. for tlE .l!.a.d amelion. Any vi lltln ofs..rhn ,01 I 5 lry .ny
<br />qDli,,r lor. Fni rtFrt rlr +rl€d ro r ov'l Frlrof mr trIE d.n lirt hlri!.d dolhr l$m)
<br />-1.
<br />a oeE of tlr Fr6ry. 6 6y c.phF anh ugq d rlrr mh onf!.rEli.a rill &' tlE rE i rn ,. inde i ml
<br />ina!.t d ofi.Ed 6r .L (S* 70aa. BrriH ..d PbfruirM C.d.: TIE Corft.dd . Lics tlo dod rw *fly ro s orB .l
<br />rlr FftiEry *+. hild. d o$r!6 dEoa. irn rb &6 rdr s,t hiElf .. hdilf or ftnqt nr d ha ()m.rphy<.1
<br />Fovilcd drl rEl n+oEEr. & r'r irdrL.t do&!d tx -l. lt lortG. rL biu.t d r4tuGi.n i.oe rd'-m rc
<br />of@r+b.c dr O*n A k *i[ hr ft hrrLi of Foqlt [r L a tE .l'd ,Et h!{ ( i!.or dE FFry n r,t F,rcof
<br />-1.
<br />a ffi of dE F+drr. D *lu{v.ly @d.E.g ,$ lEtEd 6rm.r.!.r b 6l.rud dE F}d (S<. 7Oa'1. E{tiE
<br />rn Aoh. Cod.: 'l tE Colnrco, . LiB Lrr &!.r
<br />'Er ely b n ffi of Fbt ny rto toal& d bpmq lida[
<br />.r!d rlD dr.x!. ft. ct !l!j.c'r ,ni . co,rBtd(.) lio .d Farlr b 0E cod*ra . Ii!. t*)-
<br />v!8rilE!:caul!!sal1a!
<br />ECIAEAUq!
<br />I hdlty rllm ud.r FDlyof Firy.E ofth. folbeus delr.litd:
<br />-l
<br />h.E rd'illdile. cqri,bcofcq- !. sdfl,re tr Et'r o'lFtu i.i! a FDd.d h.bysd.n!]morlt.
<br />t t.cod..tr E tEt,t!'laE of tlE rqt &r rhi.h d. Fnn a isrd.
<br />_lb.E.ndwill i u Nld @r+.ddi.h ll.J,re. i rqlind bySdrm l7m.l0!. t 60. C.r&. tu0E F6rffiotrLElt rtEh firFh, ir iEl M,rqra @lr+6:n mrc ffi rnFlr,B,$..G
<br />_l cdiry$
<br />'n
<br />ilE Fl@ ol rh. hrl lr *hth thr p6nir t !d.n. I d'!ll br arslby.ny FDn in rny rf,F
<br />h ehllom bjdl ro rlE ed(6 6r4.ridbi hq ofc.lfom!.. .d.,8lld 'f I rlDult heo sbjdr lo E
<br />hrtd' drgdan.n,. nir of S.<rir lTm df U. lrlr C.d.. I irll tnhf,ih oipl, vith ltn. F6.B
<br />$al]llN(; l rituE h M srl6'mqEN.rntr ormlt r unbstul. .nd .1,!ll ohF m dntlbF h tul FllB.d
<br />civil nn.iuDtoo hundEd rhousd dolLE (tloo.Ofil). h..tdihn l. rlr d!{ .t cotr{Etrsho.. rt!d!.r.i Foeid.d,or llr
<br />!.rrl.d.narEy rt r
<br />DECIIEAITOU
<br />I ndluy rnm un& Frryotp.rry rlr I 6 !6rd oir Fr6in orctl+.i I (c'm!r 9rt >rbrrlm) 6rDn dt
<br />or rlE BllrB.,n lmisrB Co&. !n my I.re i! . tull 6r dn dL.l ql4.[v>
<br />..,*'""4
<br />qq!EIETqDO{II!!!!C.AGEC(
<br />IIEEby.lYmu.rpdrryofFr|ryrLrlE!!...{indbrH4.tryft.drFnuEoalllwt6.6!dr!tiFoai
<br />mcd (se 1097. Cr C )
<br />AIIIIC'ILIICI.AEAIIA!
<br />I h66y.eh utda pq.lly of Fiu., G of tlE 6lb*i!€ *.b!rbM:
<br />D.tul Dn Pdrbr'^.Lid No.'fi.rm Fcd.r.l R.tubr@ (Tr|. ao, P,r6,
<br />-R.q!itd
<br />Ldl6oftldifotio,
<br />_! .rttfy 0r rlr ft&ill E!!LThN Rrrdlu r*.rd 'tmrtl e Lrr ir sbL ro 0! filFr
<br />-l.!r'f,
<br />rlrr I l&E d th!.tDl..tb. xn nd. rhi E.lbE 'nqn nn..i,rEl I {r lo mnply,ilh ill cdt.nd cou y
<br />lhok rEnr0Ed nmrEnt for in+dirn
<br />-,.," \0^pps..ni
<br />or &di shn.roE:
<br />fi.4J!
<br />:/dtr"
<br />alna
<br />APPROVALS
<br />,z[,\..'
<br />Notes, Remarks, Etc.
<br />L-
<br />\sJ
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