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PLUMBING.INSPECTOR RECORD <br />OWNEB f, UILDET DELCARATION <br />I h.r.ty tlfm !.&r FBly ol Fi{, $, I d d.nri ft6 rlE Codr.lB Li(tr L, L. {r folhri!' E.d (S.. mil J <br />a8ir d Pruf.sh, C.d.l Ary Cily or ('ou.ry *hth rAuiB r Fmil lo odnkl. .ld. ltrFoE. &@lnh q lqti uy <br />t$tlE. Fii lo ir i'rtre,.lo Ei',i6llE {'9li.r,i fd *i Fmi lo lik. !iF!.n r&m,l lhdlldtEitlirEJ F,rtr <br />lo lll FtrviriE of !r CoiiEld\ Lirnid lr* lch.Ff 9. C()t|mBin! rhh S6d,n 7@ oa Diviibn I .f E BlriBr rn <br />Pmf.$nn. C.d.) rlllrll nr ii .rcorr rhddiom !d iE ltrh ld rlE .!.8.d d.trprim. A.t vk rbr ot snrbn ml1.5 by .ny <br />+tlt.d ror. Fdn rru.trr rh. .Fl6.r lo r.iyd Frrrol mr IlE rbn nr hiH.l.'lEB l!!@)., <br />_1..i orff orrli FDFnr. r rt d!?t')r6 ril HF a rlEi 5l. dnF,dir. rill d! dE kt rn dE ritlE i! rr <br />inr.ft!.d orotrEdfqd.(56.7044.BurlEs&dP,Dt{ir8Ctrd.rTh.C.8ror'rt&Et,do..mr+plyLxowrorrlEFqEr,,hohibcirFoBrrE rd*lDdcrtEtnilEfdllclredr@rhi.dhd6m.,?bFi <br />prcvd.n lhI rEh nirFnEEa E m' ir.ri.d o, .lcftr.d 6. nl. l( EMw. lh. hotlila c irF.m,Bn t DId rn,'i! d!. )ro,.u$tlin IEo*G Br{d., riu trGtt hlrri ofF^t [r ll n,lE did Er hd! r b?* ln. F!Fr, h dE FrF..oa <br />_L ti osB of rh FFrr!- d.rlurltl, .odrrl,! *nn |int d .dErN ro oiqEl rlE FDicr (SR. 7(r4. A6i!.srn ffidr Cdci T!. Conr.ln . Larnr ll, d.a br ql, lo u orr of FoFny *ts t'aildr d inpioB lhdar..d *ho o'rrrrl' fd slt Fliirr wnh . Codrlrq$, lhnrcd puqd io rh Cdrrrd i llc.c t *,. <br />I .n.(ml uni.r S(rF. , B & P C ftv fin re(r <br />lr.l. orE <br />trl)Bf,[8s:.g0!E!!tiarr0!ll&lltlalta <br />I h.Et,r.mrm und.r FMty of Fpry oft or rlE ftrlb*in8 drldlri,nr: <br />-l <br />h.w an rill minrtin r C.nirnr..f C.Dsr r. Scll-|.ffi fn wl6 orEtnmrhn, r Frvi.n lor Ity Serhn -utro otrlE <br />Lrtn Cct .lqllE Ff.lrm of tll qrt l( whkl' rpr ir i i.a,cd <br />-l <br />sniry rnll ir rlE rErfomr of llt ,orl fr *hi.h lhk F.mil ir iilEd. I drll ml .rphy.ny FM. ir.ry MB <br />m .r lo tE,c .nF !o <br />'lE <br />rutd ong.di{ Ls 6r C.liromla .,n .tE llr ir I r|Iald lEiG rrlF .o rtr <br />rorl6 otrFndbn Frvni,B or S<! bn lr@ or ft Libo. Co<L. I irlL ltnlpih onlpl, aih rlbi F,vii6N.. <br />.n'l rnr\ tr|l n).'f, hutr,l(,j rhdn\nr <br />s.1rrr ri)76,,r r,r ltrhn (iir.. tr .,.{ <br />). in ldiiirirtr t' rlE co$ r cornFnqron. damSc! !! p,ovil.d for fi. <br />Upl:s \--r{<a- <br />I l'(,rl,\,!rln itrr.., tr1'.'lr)',rlii L,\rh.i Li ll <br />DIrg|,6SAIMU <br />ur&r Fvirbn or(tupr6 0(onmEinS wirh Sdbn tlll)r nrDiirnn I <br />ol lL BlrilB.d ftltt.bN Cod.. !n ny liIG k n tu[ frG ]n.ftd <br />20 t3 <br />I h.El,t .rrn E &r Fd, ol Frd, 1 <br />nEd tse. lrn7. cir. c.J <br />tr.d.r'r Nrm: <br />Irdiu .tcy lor llE FfrIrltE ol llE *sl t)r *hi.h dn! F n b <br />AD9T TCA{T DFCI-/IR TI(,N <br />I hdd, .rn ud.. Fn.lly ol Friuy or ol llE foll'wint &.Lnr iinr <br />Dcmhion P..onrAilf,n6 NolifElii.n F.d.r.l Rriul,.ion. (TnL:D. Prn6l <br />R.,tu n\l l.rrli N,i i.ri,l <br />IL.,ril\ rl'J rl(r.,l.,xln'!(lrrn! \hr]rtl'trsr\h\nNrnx^rrr.nLirttl(xhri,rh.t)n,[.Lr <br />(u,llhr lldmlio. un !.r. rh{ rhc ih'!. tnl,rnuti.$ r(nn.\r laar€h..ntlv*irhlll(iryrtrlC.u.ty <br />Ls EhlE ro hildiI3 .slrMbtr !n h.E,hy rrhrn EFtdriB oflln. Cty !d Cou.ry ro.rrd qrn rlE <br />1;5 <br />APPROVALS DATE ID/SIG.COMMENTS <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Aree/Storm Drain <br />lnterceptor/ Clarif ier <br />TOP OUT <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipino <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Gas Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbin s // /2 7 //1'PLl rZ taLl <br />Final Gas Tesl <br />3 <br />Notes Bemarks Etc <br />FINAL <br />b,\qtEz Tdcsngclti <br />tt/?o/fr <br />,..n+!u i., \q>r,.<<€_ <br />UNDER GHOUND <br />Waste & Vent <br />Miscellaneous <br />Waler Service <br />Meter Release <br />o.% I