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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE
<br />Waste & Vent
<br />Water-Under floor
<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{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 />i.x/R 7Rough Plumbing 5'
<br />II IU
<br />Meter Release
<br />FINAL QA)
<br />O\vNET BUILI'IR DIICAAAION
<br />I h.rd,r.lrm u'rtd Fdry.f Fr,lry ili I m.r.n$ iDm rlE Con.<16- LiqE k, tu r blbrr! lm(Sc7orl.'
<br />Buindi lnd Pbfsion Cod.): An, Cny o. Cou y BhEh Eq!i6 i Frnu 16 orird, nlq. rpDvq .kDli.h or EFn uy
<br />r,rfuqFf,b.r iM. rlo E+E tlr +9ld 6rutF nb 6L ! r{rEd r.d.d rh.t or rlE. !..Gd Flrfi
<br />ro tl* Fovi,nr .ld. conrGld ! Lienrcd t * (clupli g. coMtriot wth sclFn rmo of Diviibn ! of lli aum$ ind
<br />Phf.rbE c{d.t or rtd tr d.lE r a.ntr rhaln r.d r,r tar tu r|t rlk!.d d.npih Any hhlnn of s..tbn 7oJ I t ft.ny
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<br />-1.
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<br />.id *no 6nrd! 6. rdt FoFdr wih. co|rr.rd(r l.a..d Fnll r. tlE CqrDdo.'r Li.ta t *,
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<br />IIISIAAJ'TIA
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<br />-l
<br />h.e !d sill mitl.ir. Ccnifsrc of C.trqr ro SdtlNE br mrta' mP6dio'r s I'DviH *,r bysal6.1700 of llE
<br />t t .C.& trllt prft.llrEonEEt ti 6in,Elddtt i in6d4.r m(o dqEiorm r..l!ti r Eq!,t{ 6, S..h ,rm of fu L:ls Cod., t dr Fttrt'rE 6r
<br />y rort o.fa.sr nn rnrurlm. c.Er.r dn Fncy numh- E
<br />,*,,,.IrVatd-A CrL
<br />LUC o ol
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<br />b h.or allFi h rlE Etd 6nF.rdu Ln 6f cnlt)f,ir rd.sE lL rll rl@ld hor alF lo E
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<br />Ihcby En u.& Frly or Firy th. I D lxti.d En r lhva-m of ctrB( 9 (offilr nh S.dir ?(lO0) of DiEbn l
<br />of rlE BurtE .i Pretnir Co&. .rd oy la!! ! . tuU br rd .lt l.
<br />,.*.".-153t/€rb\B,.5.L3-/9
<br />COIiI8'JCUqU!EIIIIGJGIICI
<br />I hddry.,fm !rd.. F lyofF.tryrh Uq.ir orirdbn krnlt.!sy tr 0.F&t'rc6l.lt6l tr lttnllii Fr a
<br />n!.d (sd. 1097. civ. c.)
<br />lfAJSA TllCllEAEq!
<br />I hcrt, .lfrn un r,ady ofFiry @ of dE fdrrry &clnrirE
<br />D.mlnion Pmh.Arb.io. NoliforF. fcdd.l R.glhlFN CInb {,, Pat6l
<br />-i.q!d
<br />Lal6 6l t*rind..
<br />I r.n'hi rIr rlk kl.'rlr.*ulxrk)m rcrfll'trr r\h.{.s r.ntrrrlJ rr rt\t']rihlc r) rlrr{ nr,,.cr
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<br />I h.v. Ed thir tr,tur rLr, i.on..r l.'IIl$['.otr,nlytrfhil ( 1r\ nl( otrnrr
<br />ndmrd .,!d sd. t,q rlr!.rlrc EFldrrer oldit Cry d Cd[y lo .dr S
<br />-,.5.1b 11,h,!. tunrtr,n.i rn)rdr r{tr
<br />AppllcNni or ,\!.ni Slratrx
<br />sr3
<br />,gMfiEI
<br />ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Gas-Underfloor
<br />dtulut t
<br />Final Gas Test
<br />Notes, Remarks, Etc.
<br />I L
<br />vnrk(^ c!{nn o\[r,nrnrNr)D. Is.o!(rl7l)lro,rh.lnh{ti\lc,I{r,ll.lndhr hc.trlI1lt{'rhrhEnn,vtr(nN
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