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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS r)lvNtaR rlulLDuR Dllt,cARA'[()N
<br />I lB.c6y ililrnr trndcr |xnilrv .i F'iuy rtur I iD cxcnr liom rh. Cottrcrorr l-i.rn{ lj( n)r rhc tlkrwnr! t$on rse. Toll 5
<br />slrlcrtrc, t,forr, ir\ tn{i.c. rho rcqutcs rhc rptlicrtr lrt su.h pcnnir ro llc r siSrc,l (rlcrncnr rhrr h. or shc n lr!ct\cd Pursurtr
<br />x' rh. |nnnn,n! ol rhe Conr.rcir'\ l-iccn\c{t Ir* (Chrprcr 9. Cnfnncmnr! Nnh Sc.rion 7([)0 .l I)ivision:l ol rhc Busincs\ atrd
<br />fn'fis tr,n\ C,'& ) or ihrr lt or \hr n Ltrm0r rhcrckomanJ thc hr\n fttr rhtnll.lcdcrcmprtr,n Atrl vi,nrri('nolSc.rionTo.rl5 $y unt
<br />rtpliunr turrlcnnir \rhi.cr rhc rpfh.rdrr, r.ivilpcmlryol n.r rr. rhrn li\c hundrcddollnr rS5(x)).
<br />-l.rso*r.rollncDn)Irnr.irmycnDlorcswirh{rgc\urrhcti,lccon[ci\
<br />n,n.$'llJnrh.$orldndrhcsBruNi{rmr
<br />idcaL\! oroflircdforstu(Sr{7(r4.il.BusircsidPhfcsi{*C.dcrThcC.ntrctoisLiccnscLnwdac\norapplynranowncrol
<br />rhc nmpcdy *lr h'ild\ or inDrorcs lhcNn. Ml who doc( su(h wold nh\clt or hcrclt or rhrc sh hi\ or hcr own cm!l{,rcc\.
<br />ptuv cd rhrr s!.h i,npolcrEnr .rc nor ir cMdJ orolTcftt tur Uc.ll h)ucvc(rhc huikliq orir{)nErxnr is$U wirhinoncJtr
<br />olcorykrbn. rl*()q,ncr Buikl.r {illhivc rhc hrdci of[oving rhd hr.r shc dil nor huih or impr.r tnc nn,Fny lor lh. purln{ oa
<br />-!.
<br />.s owmr ol'hc poFny, trm cxchsircly contmrin8 wirh li.cnFd snrrodoF ro on(tud tlr projd (Sec. 7014. BBnr$
<br />,d hD&ssion Codc: Th. Co.rretor\ Licc.{ llo dGs @r lDply ro !n 6wr* or prcp.ny who builds or inpovcs lhsco.,
<br />and eho smd. for slch pmj$k witi a Conlru'o(s) liccnsn ,,uNumr ro rtc ContEcrois Liccnse L,w).
<br />-l
<br />lncr.mpl lds Sarion-. B. & P.C.lorrhirEr$.
<br />Drle:- O*n€r'
<br />UOBf,EBE.COMIINIAIIAN
<br />DECIABAII(A
<br />t hcrcby rmrh lndcr PcMhy of pqj!ry o* of rhc folheinS &{lararhnsl
<br />-lhrv.J,xlwillmrnrinrCcnificrrcolCon.cnrloScllhrsurclorworkcncoD|rnqnnr.rspruvidcdnrhySccrio.lT(XlofrhcLalxn Cd.. fn rhd pcrfonun.collhc sork loi*hi.hrhc p.rmir n issucd.
<br />-lhrveandwillDmn
<br />ljn wortcn .ooDcn\ltn,n insurancc. as rcqlircd by Sc.rio l?u)orrh. tjhor Codc. for rhc lertornuncc oI
<br />rhc wort Lr whicnliisrcmir is issucd Myw6.kcc .onpcnsrrion tll )1
<br />I.cnilyrhat in rhc l.rlornmrcc of I hc work lor which rhis pcirnii n hsucd- I sholl nor cnIto, an, Fr$n in atry m.nd$
<br />$ !s lo hconE subjcct to thc ror*crs $mrEnsarn,n kws o{Calit mia, rnd a8rt. rh! ifl lld b..om subirl lo thc
<br />woltm smFnsation ,rmvkions ot Sccl ion 1700 of ltc Lltnr Codc- I Flull. fonhwirh
<br />WARNINC: Failurc lo $curc *orkcrs oml).nslion covcE8c
<br />civil nflcs up to om hundFd rtousnd dolla^ ($100.000). in
<br />,n cnDr.rr ro dinriool p.MIriB ond
<br />ion, danugcs rs nmvidcd lor thc
<br />Salt,n 1076 ofrhe Llhor inrcrc\l ,nd rrtrtrcy\ lic\
<br />I lrrcht rrtrm uMc. pcn0liyofpcrjurylhd I !n liccn$d undcr lovis 9 (conncncing Nilh s.crk,n TIID) ofDivaion l
<br />or ihc Busituss and Pmlc\iionr Cod., rid my lkcni. is in full
<br />l0zaaoz Anrut
<br />CONIIEJI{JIOITIENIIIIGAGEtrCI
<br />Ih.sby.fnmund.,lE.,ofpcrjuryrharltFEnacoi$mrbnlcndinSaScmyforthcl,(Jfomtucoflh.e&f6twhkhrnistmnis
<br />issled (SE. 3097. Civ. C,)
<br />AEUCANIDES,AXAU!'Ii
<br />I tEjby dlnn unacr pcnrhyofpcrjuryoac otttu rolb*ing dNlar.liofly
<br />Dcnrlirion PcirnirsAsb.Nos Nolificaliotr Fcderal Rcsularions (rilb 40. Parl6)
<br />-Rcqutcd
<br />litrcr ol Norifsrhn
<br />-l
<br />ccnifylhd rh. ltdcrol rcsulorions rcsrdins rsbcslos rc'mvalarc nor arpli.nblc b rhir,'roi.t.
<br />l6.diry rhd I h,k ddrhnooprdr
<br />fkNm* rnd srstc tiws Elxors ro bu
<br />ab.!c tr.rioncn roncny r.r inrFfion
<br />ion n comcl. I o8N lo strq,ly ,nh aI Cny and Colnry
<br />izc rc!rcscnlorivrs ofrhh Ciry md C.xnry 16.nrcr uF,n tlE
<br />Applicont or Aaeni SiaEluB
<br />h.7
<br />*,,,, ?/'tlf
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under f loor
<br />Gas-Underfloor
<br />Buildino Sewer
<br />Area,/Storm Drain
<br />I nterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipino
<br />Tub/Shower Test
<br />Rouoh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Ir/ain Drain/Pool Pipinq
<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 />Bough Plumbing?KW t /ro/lg >b6.6
<br />Final Gas Test
<br />Meter Release
<br />FINAL 1/K/k >bcY
<br />Notes, Remarks, Etc
<br />Roof Drain
<br />Fill Line/Back Flow
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