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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNAR AUILDf, N DELCAR TION <br />I hdriry,llm rd.r ,.Dlly of n rjur.v lnd I d d.r'pr frsm rh. co rrcldr' Licm. Lls for lh. irllowihg E $n ( s€.701 1.5 <br />Burhi dd Pmtc(ioo codr): Ary Cny or Coudy which r.quns ! Fmn ro 6drud, tltd, ihpmG d.mllh o, qiatr tny <br />eN.rE rrior ro tr! iiruMc, lis Equtrd rh. lpplcr fnr s.h Fmt lo fik a rismd d.l6E lh.l h. o, rh. t licmrd Plm!,l <br />ro rlE pmvirFN of rl€ Conr.cld t Lic.ncd Llw {Clspt6 0. Conftmi.g wnh s<tion ?000 of Divilhn I of $. Bur!t.$ aod <br />Pofc(ioN Cod.) or rhar lE M dr n q.hpl lh.rcnom .id rlE h.riN for rlE .llc8.d .kn{,lhn. Any vioLthn ofscrrn ?01 I t lty .ny <br />spplic.m for . n mit $hiers th. lpplicaor 16 ! civrl p.@lry of mr mE Ih.n fiv. hundEd doue! ($50o) <br />-1. <br />N ow olth. FDFny, or my .mphr.6 wnh *.sd u lltu nL @dp.Mhl\ will &t llt vdt md E dlEw i! bl <br />i,rqd.d oroff.r.d for -L (Se.7(x4. BsiB.nd PoEsnonrcodc: TIE Conmcioas Li -tls&'dd+plyloinow*rof <br />0r.r,Dp.n, *lbt ak! or inpmE fi.!q^ !d wtn &E tuch wir hini.lfor ls*lfor tEou8fi fiii or lEr o*n.rlt!lot!€. <br />pmvid.d rh.t tucn mnolllre e mr i.r.nLd.roik 6r -L r[ novG. tlE tnirthS ot inpiEd nrE wihi..E ]@ <br />ofodpkrnl! rk OwE Buil:b,ill l[E tu turddofrsr!{ thlr tE rll. dil ml hiild or ii{dE 0r pDFry 6r ll* p'rFor of <br />l. N owr ol rtE Fmpsr, rn cr.lu$v.ly contd ms wth lic.nr.d co.rlhcloF h srtr{Mr rrE pmiet (Se ?044. ButiB <br />ad PmErrM Cod."ft. Cotrlricloa, t,iccns Law &'.i mt llrplyl. d own.r of,!mp.n y vho buildr o. imrov.r thdon, <br />and *ho @nlmcN aor roch tDjd. strh a co Eto(O ltr.Md ,urunl ro lh. Co.lE(oir Lim€ riw) <br />I om.x.mpr un<k! sano <br />loa6E8ti:cqEENtArq! <br />IECI,ASAIIO! <br />I h6.hy lmmun&. r.nalr, ofFilr, DE.frh. followi.S dftlaariom: <br />I nav. arn will ruinrin a c.nifr.G olconsr io S.lf-ldruE for wli6t @np.Mti6n, a. pmvr:t d for by Scliotr l70o o l th. <br />Lrt r C.&, for lh. rdfolrie. oI $. m* lor stlich $. !6nd ti. d. <br />-l <br />hlvc dn<l will o.dan wo*6 cnmn.nlllion iNBtr.. &r r.q!r.d hy smion 1700 of th. L.ho. Cod.. fir rlE pdfollirft. of <br />rh. hrt fD, wn(h rhi! n mit N irs.d My wrk6a q'mp.nor'on ,trs..ft. ffi.r dd policy numlr trc: <br />LJ <br />to- )" 1 L <br />-l <br />c.ntfyrhat rn rh. p.itormm. olrtE so.k for *hich rhi o.rmir i. $u.n.l 3h,ll ml mploy !.y p.&n r iny Mxr <br />$ sr ro h.om sbj.rl l.lh.v.rlGi coot]lni{io. L$.tctl'fo66, aln !8R ltd rll thoukl he6ft $hldl to ttE <br />$0116'onp€nslionrmviiioNols.di.nlT006frh.Lltbrc.d.,l*trll.fonhwilt@mnlyerrhrh.*tmvisioni <br />WAnNINC l:!ilur. ro sur. "br[.n' .omp.nsion mkmac B unlo*'tu1. i.d rhnll shFl tn .mplorr x' sihDl l.tulrai.rd <br />civil fiEr uF Io.rc hhdrd rh.ushd doll.c Isl00 rn odd nn rd rlt con ol comp.nqtion. dnroscr t. tmvid.d f6r rh. <br />s(Lhn 10?l.rrh. L.bn FlG inrad md <br />,,.,.. t:s-U a <br />I h.Ehy 6fi1m u./.r ptuhy o f Frlury lhd I sn lienr.d und.r pov'i.n ofch.pld 9 (onErcins *ilh s.dir. 7000) of Divirhn l <br />of rh. BusE$ lrd PDf.lrior. Cod.. u'd hy licok k in 6rll foN dd .il(l <br />C-3 rt <br />,,. T C: <br />I <br />I hftby orftrm ud.r Fmhy o t pcrjury rhor th6. ir t oNrudirn Ltdirg .s.my tor 0E pdlo@m. of th. qork tu *'luch lhf Fmn ir <br />lssu.d{sft ll(!)7, c'v c ) <br />AtIIlCrIl-UrljlIl1&UlQ! <br />I lrth\ illinn trnd{ |rMlry.ftrrjur) ,trte nlrh. n,lkr*tru (l..hnrFn\ <br />Dcntril'rstr l,nnn\ Arh.{ds NorLfi.r(kr lrJml lt.sulxr(ru ( I rlr.ll). lln16l <br />Ite(tu red I .lrur.iNor'li.rnfr <br />-l.6ii[yrh <br />rn Ld.6l REuhthns Esrdrns astE{oe rcmvll!r. nn.nnh$bk to lhF InrJ.tl <br />rhlr I h.!. Ead ihir 0pnlicariorod sror.rh.rrh. ar-r. hfonNno.h mftd I alre.. oq)ly wnh .ll Cily ! Counry <br />rcpEr rriv.. olrhir city.d Courylo rdd !tb.ttE <br />-^,, <br />Y -e 'n <br />odrMm8 and sr.r. LawsEL neI <br />6hrv. mnriorud nreF.iy for <br />appllcxnl o. Al.nl SlIn.lu b; <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer elznln Dsta lq <br />Area/Slorm 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 Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Rough Plumbing <br />Final Gas Test <br />Meter Release <br />FINAL tl,qlv Madto, <br />Notes, Remarks, Etc <br />L.idd . Addr* <br />- <br />Miscellaneous <br />Back Flow Device