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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS ()rvN!:R BlIt,DUR Dut,CARAI',TON
<br />I l$.hy rfinn uNl.r p.tr.hy ol n.rury rld I nD cx.iDt ln,D rltr ('onlmcim l,icensc l-iw lor lhe tollowing r.rmn (S( 7011 5
<br />Bunnc$ ad Polcsnn ('od.): Anyciryo. Coud) \hich rcq!trer r n€n. ro mnntucr, alrd, rtopfttr., d.nnnNh or Rprn nt
<br />rrtuctlrc- nnorro rts ssuinc., rho rcqur.s rhe qplic nr ior such rBmnr ro lilc. si8n.d sr.r.mm rhd h. or nE s |cen*d purmrd
<br />b r provnm.s olde Conr.clors Lrcctrsld tr$ lchapter e, Connnencir8 w h seclion rlxlo ol DirFi,'n I .lrhe llunncss,nd
<br />Fnrltssi.nsCode)orr[at heorsh. hcxemni llErefromand ll]chasis lo. rhe il lc-s.d .rcrrpr tr) n An, rnnannn ot sd ion T(r:l l s by 0ny
<br />ippLc, irrrcoirflh)c.krhLAtrl'rarr...rv'lp.nilr!olndrdn,srh$fir.[undr.dd.llarcl$500)
<br />-1,
<br />a oMcr of th. Dmr'.n, o. my .hrlort s enh was6 * lh.t $L @mrcnerio[ will do th. w6* .!d tlE slru.lR k ml
<br />itod.d o. olI.Ed f6. $lc (se.70{-4, Au.iB ed PorB!,oN Codc Th. Co. t!c1d't LirnE Llq &d dr !0ply io 6n 6wr o(
<br />rh.rFFny wln lnikb.r impNB 1116'r. dd wrh &6 Mh m,t hinsll or h.Rlf o. llmush hn or k. om.ntk ls,
<br />pmvid.d rhd scn ihpmwl*.s @ mt inlsiql oroIEEd 6r sL. lq tbstB. $c tuildi.g 6. irqNEr.ir i. FE wnhin on. yw
<br />ofc.n hb,t rh. (}"6 &!lrd willhrE [E h,nt n of prcrig ihd tr or dE di, ml l['ld or inprow lhc FDFly tullE Dur(eol
<br />l. as owner ofrlR rmr.ny, m .xclusiv.ly conrEnns wnh lic.nsd cor mro6 to connrud rl! rmj.d (s*. 7044, ANrNs
<br />drd PoErsD. Codc: I hc cotrlm.tols Lrc.nr. ljw docr nor atrly io .n own.r of p.orcny wls nuilds or impnlB lh.r.on,
<br />ond who 6 mls f.r sch nmjc.ls sirh! Coflhcrois) licc.*dI)uGunr ro rh€ Contadolr Li..n< Law)
<br />I rmcr.nrpr u.J.r S*n.
<br />]EaBIE8E..CAIUETSAIIO!
<br />DICIAEAIIOB
<br />I hcEhy.mmund*pmllyof Friury.N oflt lolloeirydeladlk.r:
<br />I hivei sill m.inhir a C.nificarc ofcon$nr ro sclfnrurc lor *orkds' .onp.trslion, N pn'vdcd nrbyScctfn:l?00oilhc
<br />L,nr (nd., Ior tlE pfrlbrmnc. o frh. \$.I aor y hicn rhe pmnn h ksu.d
<br />I h.v. rnd will mddlin worhcrs comp.nslion itrsu,lmc. m EquEd hy s6-'tion ]?m of th. l$o. cod€, for th. Fnbmncc of
<br />thc *rrk aor vhich lhis n mil iB iit.d. My workds ompmsrhon ifl$otue @her drd Flicy numb.r m:
<br />E<e -.- pt
<br />-l
<br />c.nity rhor in rh. p.,tomam. of th. work tor wni.h ihh p.mn is i.su.d, I shdll mt .nploy .ny Demn in any @d.r
<br />$ s ro b.6ft $bj.rr ro tlE krt6'onp.ro.rion hws ofcllifomi!. .nd agE th.l if I llFlld lr om sbj.li b ltr
<br />wod(cts com!.Mtion pmvilioN of S<rion 1700 ofln. Latior Cod., I slull. tonhw h conply whh tho* pmvisioff..
<br />WARNING: [ailuE io suE wort6' orFN.tion cove68. ir unhwtul, md snoll $bjd an nrlo]tr lo nm,nal |'oulr'6 and
<br />civil tE. up ro o.. hu lEd rhousnd dollffi (3100,000), in addilhn to dE cost olomp.trr ion, d.tug.. as povidcd h. th.
<br />rl \?v
<br />I lErchy aInD Ufrl.r peMlty o lF.jury lhit l a lrccn*n unds nmvis$n olahafln s(comdmn's * hsccrirn7ffxr)otDrvisonl
<br />of lhc tsurn s. rnd PmLssio.s Code. 6nd my lic€nk r in inll loN 0,i .fd.
<br />SLa'-t LLL
<br />t,-r'i-tk .-"*..,X Pi,r r:u- P\E ,
<br />))
<br />COISInIICUOXXiIDTNGIIGT (I
<br />I h.ehy .mrnr und.r n Mlry oa ndrury lhd rhrc is . con(ruct$. lcn(lms as(rcy litr ihe psftdrm. ofrlr rvorl fo. which rhh Fnrt ir
<br />issucd(s.c 1097,Civ c ).
<br />tandsi Ad&es
<br />-
<br />afltrcall.l|[ct aSauaN
<br />I hdrlry.Ilm unLr n @lly of t'.@ry om ol rh. follovmg deloorbng
<br />D.@lnon Pcrnits^sber.r Noti,lcdion !-.d@l Reeularioni I l 'tl. 40, Pan6)
<br />RequiEd Lrtld olNori6616n
<br />-
<br />lcd'&rhd rh. t d.alr.Ella'rN ExordinS 8sb.{or ltmwl d. mr rndMbk lorhB poj.tr
<br />L)r .*,ry ,u, I r,"* ,.,a rr'! aml.'rion and d.r. rhrr rhc !tor. inrorn io. i!con.1 I'!rro6m0lyw h.ltcityandcou y
<br />ordinrn6 aBt slar. L!*! Elards to lDalding con.lrucrio,\ ,rd h.rchy !UlL.iz. r.I,Hal8liB ofthi! cny lnd couily lo drd lpon llt
<br />rtxn? ornr omd F)pcny i{n nsp(r
<br />ADDllcrrl or Aretrl Slgnrlurc:l l^r ?- 18
<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 ttl14/td'rtulo/L .1n,..,
<br />Roof Drain I
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain Line
<br />Main Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test rr/N/rk'frvtNlk 'o-"-'
<br />Meter Release I t lt
<br />FINAL u/tU/il ?zkD.z)y'a -.Notes, Remarks, Etc.7
<br />Tub/Shower Test
<br />Miscellaneous
<br />".-u*"rr"rn"r,{I k5 L\44 k
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