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PLUMBING.INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATEID/SIG.
<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 />Rouoh Water Heater
<br />POOL/SPA
<br />P{rap/Drain Lrne
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rouqh Plumbinq
<br />Final Gas Test
<br />Meter Release n\
<br />FINAL l-271r x.t+ttd)
<br />Notes, Remarks, Etc
<br />owNllL Bt,l[,DER Dln,caR Tlol\
<br />I h.Ebl snnn und.. ftnihy of ncriury lhrr I m .i.hpr liso the Conlra.lo6' Li.en* lja lor rhc Llloqins rci$n (scc 70ll t
<br />ausrncss ord PotsFion Cod., Any City.r Coutriy Bhich rcquites 3 ,r.mi kJ 6n5fld, alln, impnve, demnBh or qrn nnv
<br />(dcluG tnunr irr issusm., alio rcquircs rh. lpplicnnt lor suchFoD ro 61., sisn.d nolemd rhd lrorsh. k lic.nse.l PlNanl
<br />t rlE pntr'isions olrh€ Conlricro.s Licensd Liu'(clbpr.r e, Connncrcins with S.criotr 70t)0 olDivilion I olrhc Blsin.ss.nd
<br />ItotessioosCode)orrh"rhcorsh.iscx.m nrrefmnrul lhc basir rdr rht.ll.aed ex.mllnn. Any!'ohrn,n.fSeri.n70:ll 5brmv
<br />aptli.,m for rp.mn subjNFrhr rprtctnr r. icivrlpcNhyofnornDt.rhan five htrndtul doll.m (S5l,0l
<br />-1,
<br />!r .rnerol rhc Imr.ny, or myemllole! sirh *!ges 's rhet $l...olenarion, erlld. rhe wodr tnd ih. structuc s nor
<br />'nr.nlel or of.Rl rhr sl. (Sa ?04,1. B!$N$ and P$i.rnon. Codd lnc Co.rrr.ktr s l-&ns. Lrs do* ml illlyh,.ownd oa
<br />rlrpF.ny *ho t tdr or Dpmrd rh.eln, srvl * h. d.fl sch qolk h'm.clf or hcrclfot Ih&ueh his or htr otr n .mpl.'€.s,
<br />pft,vd.d rh.r such iDpnNq*nh i( mr inrcnddl or ofiiren itrqlc lf. k)kro, rh. huildins or inDmrtmnt n sld w nno..,w
<br />olcomFbrin. rh. ()tr ner lruild{y sill hnle rlt t'urd* ol !RJv6! rlsr tu.! nE did dn h'ld or ntmve rhe,mp.ny lor rn nurrr,*ol
<br />t, .s o*n r of rhc popdy, ,h cx.lsntly co.tn l m3 tr irh I'r.trs<l contmhs r. @tr(rucr rht rmjer ( scc 7044 Bdsinc.\
<br />ul PnrlL"i$nCod."lncConlracloasl,icen*Ia*dorrto irnlyro onos'ncrotlr.p.ny$ho buildsor imlrord rh.r.on
<br />ind uho coormcrs nr iuch troj.ck wirh tr Gnlmdo(O lrcDs<lptFUiDr brlrConlr.clois l-iccnse Ir{)
<br />I im.r.mnr ur,!d sfrron .a.&PC forthtr@$.
<br />]lQ&illBs:cllrrlErsdll0!
<br />u!:ct^BAlJllN
<br />I h.reby.mirnunde! nemlry o lllirjury oR olihc tollouur d.llamlur
<br />-l
<br />hrr. ed wr ll nminr0in a Cenificrr. .l cohenr h s.lf-lniur. ior $rkos conrpms ion, as pmvided tu by s{ton 1700 o I th.
<br />t-ahr cdde,lorrlE ndfomnrc. olllr suk fi, sh'ch rh. r.mn k hsu.d
<br />Inavcnnds'illnrrnlain{o.rtconr.nsdionrn rrncc.rs reluEd h, s.rr()n.17(roolthe l,ahorcodc, fornr Denbnunc.or
<br />rh. work lor s'hich rhE p.mir
<br />'s
<br />ir$el Nly sorksi cnmpcnsrnn insun cc.trnier afll l.lic) numh.r.rc'
<br />-l
<br />c..tify thir ii rh. !.domm. of lh.so* for shich thi. p.mit is irrued. I 3hdll mr .mpLy .ny !.mtr in 6ny 6mF
<br />s $ to t{nm sbj6l ro lh. mir6'onwNrion IAvr of Colit ni!. trn tgE. rhsl if I should b..nc sbjd lo lh.
<br />mr*m' cod!.Mrio, leriione ofs.dbn 3?00 ofthc Loinr Cdq I ih.ll. f.nhent ompl, silh tt * P@visions..
<br />WARNING: fsiluG ro suE wod(B onyEn$|ion 6v6e. Lr unhwtul, lid ilBll s!it!:L*.it!itt ti16
<br />civil linci up ro onc hu r.d lfiousid dollas $100.0001. io addirion l. thc
<br />Secnon l(176olrh. l-akr('
<br />I h.rcl,y odirm unl.r tcnihyof
<br />DECIASAIIO!
<br />und.r tmvisionolchttt.r 9 (commmins {ilh S.crio! 7000) ofDivirion I
<br />of $c Bu.in.$ ..d Poa6sioB Cod., an nry licen.. is in tull forcc ord .,Lcl
<br />I h.Ehy .ttrm undcr DeMIry ofDcrju.y $ar
<br />ir$.d (S(. 109r. Cif, C.).
<br />ruclion lendihsag.ncy lor rh. pslomoc. ol'h. solt n $hichlhisperhir ii
<br />atf|.tcANrD[cla86llo
<br />I hdrtry ollm und.r pmhy 6f p.,lury om .f lhc follo*lry &cl@li6n.
<br />D.molition Pcrnrirs'Ast sro, Nolilicilion r.dcBl Rquht ions ( l'ille 40, Prd6)
<br />Rcquncd tct.r of Noli[@rion
<br />tdc6l E!!l.li0N Esardins Nb.slos rflx,!61 !r. Bn +plic.bl. lo this I'mjccr
<br />UNDER GROUND
<br />Waste & Vent
<br />Pool Heater/Gas Line
<br />1.. ,J" : Ninr _
<br />L.od6 r Ad&E:
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