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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />UNDER GROUND A
<br />Waste & Vent l-*z-11 V.W,td
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain Line
<br />Main Drain/Pool Piping
<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
<br />Final Gas Test
<br />Meter Release
<br />7.6
<br />Notes, Remarks Etc.
<br />FINAL
<br />owNl:i Sllll,DllR l)[l-caR\l loN
<br />IhRhydi'Ldudo!€mlryolp.loryrharIa.rcmlrlnnnrlEConlmclor'l,'c.ns.,-r*[nrhclollo*in!rea*in(s.c70]15
<br />Itusnrss afrl Pnrf..n.n (od.): Af,r City or Counly wticn rcqures o pcrm ro onnod. ah6. imrov., &rmlish or E?atr any
<br />$ruclurc. nrn,lo rs rssurNq also r.qurcs lhc apphcrnr for such p.mrr t, fl. . ssn& N,r.m.tu rld he or sne is licen{d puBml
<br />b lhc pmvhoff oathe Conkrclois l-icetrsed L.q (Chirlcr 9. ComnrcncLns wilh s.crk'o 7000 .lDrvision I olrhc Busire$ 0nd
<br />Pot(seions Codc) or thar hcor she is excmrr rherclrnnand rhc hrnr rdrrhtrl[!.d.r.mpinn AnyviolilionolS.clionT0]l lbyan!
<br />Trfl'r{n,,, rn.'rni rLhJ(F rhr rnrlr rnrro r.r'll..NI!.r m' mnrcrhlF n\. huml.ed d"llaFr(<(nr
<br />J-J J *.* r'* ,.,*"r. or or.tr'nla).e. s ri tr ip." i. tlrtr slc c. rcncrFn. q,rr,ri, ,h. tr.'k ,nd ,rr {a,,m F n{
<br />/nl&ret orortrea r.r qrtc tsc ro4a,Irunnc$ and lmLssion3 ao.l€ lh€contrcro. s Li.8f I-.wdocsnor.prlylo.no{ner.l/ rhfnn,Fn! { h, hu'[r( or 'ffnne rh.rd'n. ind n'h, &na ntrh w)Id hmicltn h.r{lf or I htrrsh hii or h.r.*n..Dloy.cq,
<br />D(n nid rlri tuch inpmFnrnk .ro n rnr.nd.d or o,laRt nr $I. I[ tr*€ve( rtE ttrlldiry or i.{,m\!Rm is $ld sdhin oft y!i.
<br />olc{nrll.lna rlEown.r Build.r willhnk rh.bu(!n.rpn)vms ihs hr or dr dkl d ttriklo. imnmrc rhe pFnsly litr lh. nurxd of
<br />l, !$ otur otth. I,!ndry, Ed crclusiv.ly @ d.ri.! wnh li.cdGd codEdos lo 6Mru.1 ttr pmj€t (S*. ?lx2t, BGiB
<br />.nd Pofdn)n cod.: Th. Conlmcror's Lic.ns. Law do.c not orplyto an o*n.r ofto!.nywho buildr or imrrc!$ lhrcon.
<br />lnd who @nrmcls for such trcj.ds with a conincr.(s) k.ni.d lMiuitrt to ln (onrBrloas Lia.i.
<br />_l
<br />und€. pe.ohy ofldjury on oflh. follotrin8 dalalllions:
<br />.rd will Daintoi, ! C.nificor. 6aco.Enr ro sclf lNrrc ft, rorlsa conD.n6rion, as nmvid.d fo. by Ssriotr 1700 o I rh.
<br />-lhavcandrilthainlain
<br />wo*.6 cohp.nrsri.n insu,rncc. os r.qniBd by Setion 1700 oflh. Lnhor Cod€,lorth. pdfom.c. ol
<br />thc *o* for wtich rhk p.mn is irqed My work6 mopceri.n iN@. 6dmrd F,licy numt r @l
<br />Policy Nrmtg:-Erpircs:
<br />I c.niry tnor in rh. ,.rfomft. oflhc worL tor whi.h lhis pdon is i$u.d. I sh.ll nor ..ploy .ny pc.sn in any n.rn*
<br />$ ar l. h*dm subjd ro rh. workd' @np.mlion bus ofc.lilomir. snd sgr thot if I slFnld lEom. stlet lo th.
<br />hd.d onwtrerion,Dvi.io6.f Sdion 3700 of lh. L,hor Cod., I stall, aonh* nh ohnly sith 0.* peviehtrt..
<br />lvaRNlNc: lidlur. ro scur. sork.R' mope.$rion .ovr6s. is !nlaqf!|, r.d .hall iubl.cr ,n mtlo)q ro riminal noslriB
<br />ciril nn.s up lo o.. hundrcd thousan<l dolhN ($100.000),iri.n ro 'h..o( oa oolp.nerion'
<br />UCIN$iILCQTIIACI],IB
<br />,urcra.8?rll()B
<br />coasralcuou$ulc-aclixcr
<br />I heRhyrmrno l.' Fnaltyofperjuryrhd rhd. is. corl{rucrFn lendins rs.try tor lhe pern,moncc olrh. work lor whrch lhk n nDir is
<br />i$u.\l (Scc 1097.Civ. C )
<br />ATTIISAII.DESAAAITA!
<br />I hdltiy aflim uido Dri.Xy oftldF.y oc of th. folhwinS d6bntrB:
<br />#:,:::ffi-
<br />n Ijcd.ralllryuhrons ('litle 40. Prd6)
<br />E$rdinx rsb.slos r.mvd dre mt .pD
<br />I cdifo rls' I ttr!. E d rhis m,nlic.t ion nn shl. rhd lh. 0b.rc inford0l ion i. c.tur I io6nplywiln.ll Cily.trd Counly
<br />oidinimes and Srd. bws Ehri.3 to 6u ildi
<br />tlx,rc nrcn((nEn |n'pcdy ntr
<br />Waste & Vent
<br />Fill Line/Back Flow
<br />B&
<br />C.d., for th. pdfolmE oflh. $!rt aor {hi.h th. psmil ir ho.d.
<br />I hcahyomrnund.r p.mllyofpsjuyrh,r Im licoEd und.r !D!irn'n.fchtpr.r 9 (comm ins $irh Sdion 7(xlol of Drrn$n l
<br />ol theBusina.and PmLssionsCode, rd mylic.nsc h in tulllorce onl efccr
<br />?\ppll.nnt !r AB.trl SlBn!.fc
<br />I
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