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<br />PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNOER GROUND
<br />Waste & Vent 1r-14'4 p;<h
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildrnq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipino
<br />Roof Drain I
<br />Tub/Shower Test 3 ' lt'24 Yt-<--Ln
<br />Rough Water Heater
<br />POOUSPA
<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
<br />Sanitary Sewer/Cap
<br />,L
<br />Rough Plumbing 3-e4 rLc--z -a
<br />Final Gas Test
<br />Meter Release
<br />u.ro-*' *oZrlFINALoatL Ua.,,
<br />Notes, Remarks, Etc.
<br />OWTEN AUILDAE DllfARATlON
<br />I hdrty.lIri u& Fdy ol Fr6r Or t n q6qt to lLC@rr.s'Li.wLtufdrdrf.lbrili6.(Samllj
<br />Bui,6 !d Profc.ion Codc)i Ary Cny or cou y wl,kh ltqui6 . !a6i to @,uncr, .tq, ilrt@vc dqElih or lq.n e,
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<br />b lh. Flvi.nd of 0r Cffi*ta r Liq!.d lrs (Clltda 9. Cdffibs dh salb! 700 ol Divibn I of llt BBi6 .td
<br />PDtdioD Co&) or thlt lE d rlE ir adp{ rhsrftoi dd ttE bci! for ln..lLg.d qoFio.. Aly viohlion of S<rir ?0!1., by r,y
<br />.,?li.rt 6r . rcDn it*ri! tlc eplk ro.@ilpa.lyof d 6GtlD 6v. tu!.L.d rb,bs{ttm)
<br />l. - ffi of rh. FrFty, or 6y arplo).6 vnn w.g6 6 fi.t $L onpqlabt! *iI .b r wl .d tb. rrEtE a Bl
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<br />l$r sd pill qid.h ! CllifioLof GE lo SdI-lr@ fn wdt6 mrqrdion ! glviLd 6r b, Sdlio! !700 oflic
<br />t td C.dc ft. tbFe.rc oltL at 6. ltii lb Fii i bld
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<br />d* 6r &. vtrthdi F4i i ird M, rstd .oqo.6 tDlrc nE -d policyBa!. re.* C{t {( Zr,np
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<br />c6rit rh! b ttc Ffolllte oftt mll br wtth thi. Flnn i. ira..l. I fiI nor apby dy pdDn i! ey ad8
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<br />El'l c.@ri! Fwiir. ols..rb. !7() of U. r"&. Co.L. I ilt ftnh,ib oGgry ril tu- FBiita'
<br />I
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<br />.ivn t!6 l9 !o c hr(H OoE&d dollr (3100.00). b rddika !o tb c.. ol@q@.ir.L <haB . Fvi.Ld 6r th.
<br />Scrt6 1016 of th. bDd Coda i'nqln !d ltiir'r ft6.
<br />D!CId8A:IIOU
<br />I ta*y .tfri u& Frry oa Fju.y dr t d ldldl u.b Fliiitr of Crr+.r 9 {@@i.a sr} S.di, ,o0) oI Dnii, l
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<br />I hftbv amr und6 rrnollJ_ o f Frur! rhd ihs. ir i comodrn Lndins isdcy tu rh. p6tomrMc. ot rh. n orl ftr stah lh. p6nn (
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<br />I ffir.ftD urdr pa.ry or Fiury G or lt folbwins d..briE:
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<br />-R.q!i!d
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<br />€y'.ot,ry * , *. ,oo * .{ditbi -d ri. $r d. .6oE hfornriin b 6.d. t irE ro @4ly *ir dl ciry ed cody
<br />odin.lE !,<l Srtt. t,E rltfu to hilli't @inru.lb'l. &d lE!b, arhorir nFEr.iE of th. City -d Co'dry ro qnr lton dr
<br />!b.v. Mlioicd FoFl, l idFlion purFB
<br />^fu--PmlrF n.n.(pnn0 ?
<br />12//i/@,
<br />espt
<br />-*-/zJg/zrzo
<br />a
<br />Back Flow Device
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