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DATE ID/SIG.COMMENTS <br />UNDER GROUND <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 />Rough Water Heater <br />POOL/SPA <br />P-trap/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 A <br />Sanitary SewerfGp\-r{'*leI k"V+:tJ <br />Back Flow Devibe-/ <br />Rough Plumbing <br />Final Gas Test <br />Meter Release A\ <br />FINAL 4-t]'\.V{ro <br />Notes, Remarks, Etc rV <br />olvN}:R BUILDfR DELCARA TIoN <br />I hcrciy ioirD undc. nc hyofpcrjuryrhir I anrercm fmr r[e ConlradoB' Licctrse t-a* f.r rh. li)lloqllr3 rciqr (S( 70]lJ <br />lnsrne$ nrl Proaesnon Codc): ny Cily o! counry $h'ch rcquncs n rmd t) .on{rud. ahe, mpnxt, dcnnn'sh d. r.litr tny <br />nrucruq rin.rro irs FsuMc.. ,ho Equrc! rh. appluni tur tuch rnn h filc ! silncd sraremenl ttsr h€ or sh. m I'c.r{d ,ursan' <br />h rft Fmvisions ollh( Contraclor$ l-'.eiscd lntr ((n.fl(r 0- Commenc'ns w h s.crrn 70lx) ofDivisior I oilhc Busrncs aod <br />holessonsCod€)orrhnrhcorrhc^cx.iiflrlserrdman'lrhchi$slixrhc.llc*elcxcmprilrn.Anyvnnnrn,noistuxonT0ll5bydny <br />rmhcdnr r.r . !.nnir srbjcch rhc oFrlrc.nr Io acrlrlpenrhyol nor nDrethon fivc hundreddollus($500) <br />-1, <br />&s oeftr of rh. pop.ny, 6r ny .nplort . warh wald * ih.ir $l! 6n mslioc will 6 lh. tuIt tld lhc ilndE i! ml <br />i.r.d.d or ofd.d tu $L (Se.7044. BusiIB ord Pmf4ions Cod.: 'th. Colnrlcrd r Lic.nr bw dod Nt q,rly lo e otu ot <br />ih. ,rrup.ny wtn hiil.k or inl{'mrs fida^ ari sls tLB sch rort him*lfor h.Rtfo. ltmush his or h.r ot. .n0lo,€.., <br />pmvid.d rtar ru€h irn mr6FI! e m i cirtcd no,tdld ttr $lc l{ howffi, fi. hoildiu or inpoEmil Lc $U wirhin oft ra <br />ofor{,ldior! lh. Ovm. Buildd will hnw th. burd€. ofpmvins lhal hc or dr dil ml laald or irfmw dE lDl'dy for th. nlrlte of <br />_1. a. own.r olrhe lmpcny, r'n qclusiEly conrrocritrs wirt licdwd coirackJ6 ro c.inrucl rh. Dojd (S.c. 7M4, Dusirc$ <br />ond PmEsbn Cod.: l hc Conk clor'! Lic.n.c L.w do6 mr apr ly lo m.wna of prorc.ly *ho huil& or impmv* rn?r.on, <br />.nd who 6i tuls for s.h nmJdts with ! Conrero(r, lic.n*d puMd h rh. Conklclols Lic.M tiw) <br />_l nm.x.mrl undcr Sdio 0 & P C.lix rhr r.asn <br />:Iaaa!8s:qQulllsarQB![cta84u!}! <br />I hcrcby artrm undd peMltyotpd$ryon.olrh. followrns dccldrarlom' <br />f)f] U'. o.,a *,tt <br />'nu,mu'n <br />o C.d rfEnrc orc.Rnr ro selrlBtrr. ror srr.B' conrp.nsolion, .s prcrt.d lirr by s.cl ioo l?0o ofrh.r0hr Cod.. lor rh. FcrfoiiBncc or rh. w,A for tr hrh r h. Fmr N '<rL.d <br />_l l8v. ,nd wrU @inr.in mrl(..!' comr.Bdion iBuhme, I Equir€d hy S.cl ion 1700 ofth. kto, cod.. lir rh. ldlomr. of <br />rhc sorh for $ hi.h rhir l.rm(sorksi mm!.nsarion in$rfi.. oricr a Flicy nunbd -.: <br />I /- <br />r.ri"r ru..r, (.,e Qr gJ 9 Cfp tSO/ I *^*^,tZ/(l^3_l.cnrfy rhat ii rh. l.rfolmncc ol th. work for which rhn rernn h iss.d,l{hrllml. <br />e a ro b€om sbj{r ro rh. so*(l comFnulion l.$ otcalifooi,. and aeic ih ial .hould b.oft $bldt tolL <br />sorl6' ompaetion DmvisioN ols*rion l70o ofrh. L!b.r Cod.. I dEll. fodhwid comrly wilh lho* pmvisioht . <br />WARNIN(;T lrrilurc r. *u.. work.n'comp.ndion <br />to oE hundr.d rhouhnd d.llrs (l100,000),ro rfi. cod ol codn.Bdr dim8$ as ,mvid.d tu rh. <br />undd Fmhy o aFrjury that I am licdsd nmvhon olchrr 6 9 i commenchs {rh sd htr 7(x)0) of Die66n l <br />ot rh. Bunn.* rnd fnrssionscod., a l nylic.nst r <br />L <br />// /" )/h7-7 <br />cQNsrBl.tLtutlrtDuili jcti!(r <br />I [cRby alnrn under pemlryolp.rjuryrhal rh.re F a $n{rucrFn l!'ndmg rgtn.y itr rh. pn,irmrnce oliheN.rk lbr *h.h rht p.m ir <br />niud (SN. lo'r7. Crr ( ) <br />arlllcAxl-uiql^aalx)! <br />I h.E$y aiftm und.r pcnalry o f r.rlry oM orlh. lollowinS delaml io.3l <br />D.molitionP.rnric-AshcrldNorilicriion[.d.ralR.sul.rio.r(-l'rl.d0.Pnn6l <br />-R.qun.d <br />L€rr(olNorilicd'$n <br />-l <br />c..riry thar rlE fcdcdt denl'iiois r.m$l .rc mt r!,,lhrtL h this pmj.{ <br />_l carily rhar I hav. @d rhG !!pl k coEsr I lsd ro corDly s rh ill City..d County <br />ordin0nc.s..d siar. t-rwr Ehlin-r <br />llbvc rnron.d pn,Fny Jar <br />.4 <br />rhis Cirvand Counlyto.nt6 umn tlE <br />"""? bl " <br />I <br />PLUMBING.INSPECTOR RECORD <br />APPROVALS <br />Tub/Shower Test <br />c-"*.'. < l^-t'y ?r r- f <br />Ldd€it Ad&6!: <br />-