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PLUMBING.INSPECTOR RECORD
<br />DATE tD/stG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnlerceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent ),1 r -*o
<br />Water Piping 1"'.)c>"s.^
<br />Gas Piping I g'')Y \J:/
<br />Roof Drain
<br />Tub/Shower Test XZ 3 -t1 -t?J.\.srb ED
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Waler Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />,\
<br />Notes Remarks Etc.
<br />FINAL
<br />OWNER AUILDER DEt'ARATION
<br />I h-.6, .rlm orda FEIy or pqj!.y lhr I E a@pl t!6 dE C.,rnd Liccc l^ lor llE &'hs!B lm. (Sc.70!!.J
<br />&!an{ lil arokih Cod.): Ary Cty or Cqliy stih 'lqoiE . Frl ro $r..d. .ts. iryort mlitn or qi rt .
<br />nr!.rd.. Firlo i! iEraE. &..qiiE t @li.d fd sh ,6ni lo 6L, tsr'.d iidEll fi, h. or.h. a li.E!.d Fotn
<br />ro rh. Flvirbd ol dr Conrr-id! Lic6t d Lrw (Clqis L CommtuinS qirh S.(ion ?OOO of Divi.hi t of rh. Auin6 &d'
<br />Prcfi..ioo co&) or rh.l lE d rlE i aanF rlE fo6 rn 0! h6b tu rh..lLr.d nfrFiii. Aiy vhlrbn of $dbi 701l.l b, ay
<br />tpplt rr 6.. FDi obidr rh. edi.ol ro. ciril F.lr otDt o.. $- ri$ hi r(H &ll&.llrfl)).
<br />_1. . olE otllE Fofqir. ( Ey alplorq wilh eqr ! rlEt -h onFrdbi. $ill & $. $qt ii rlE rn(G i mri'rdiLd oe.!d for il (Ss.tu4l. EqiE.d FDfabi Cod.i I'. Con rrtrt Lt* t {.&,6 mr q,plr ro u oqE oflt FlFtt *'lD hdac irylqtnau!.drlb &-Bt 6t tiBlf d ho}llorrlrtuahtL nha@.a!'Cbrs
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<br />!d ADbbr Co&: ft. ColtrEroar LilG hs d6 Dr @1, ro - @c of FoFny *ho hildr or inrmE lhqoa
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<br />h.w rd will En .i!. Carifarcotcoci ro s.lf-lf@ for *dtd onlilaioir r r.bvid.d for h, sGtion l?00 ott
<br />t to. Cod.. 6r thc FiinlIE of rt 6t hr e,trth th. Fnh i i&.d.
<br />I h.r. rd sill riflrh rorld .orp.Mhn i@.. 6 EqlriEd b, Sdh. u(x) oillE l,lF (-o&. tu lh. Ffillrlldt of
<br />tli 6* ln *ntn l , Fnn b iBEd Mt aort6 mmFMi.n iBux. crn r rd Flt) nunb.r r.
<br />Poh.) Numb.r I rtnr6.
<br />@tirr,r,, i",t'.6,r.rmn(. otrh. \ql rn *hkh rhir rxrhi B krudl I shilln.t dDl.r.nr rEsn, in inr n,0nnd
<br />$-a lFtwr rutld to ltE tr.rld'comFs{n llqr of (-.hforq. rnd rf,r thlt 'f I {ruld l<orc $hj<l l,! rlE
<br />$0.16 smF@ron ForErNofs.(lnn l7u(rofrlE Lh{ (od..I{dl- tonh{nh.omnh {rih rtF- I'o\i\n6
<br />dvil nna 'p ro oE hundld rhqed &ll5 (tloo.oQ). ii ddnbn ro E 6d or ion. d.r.8n E For il.d fo. th.
<br />Sleraon !076 of rlr L.!d Cod.. ir.d ed .rd.rr't t6.
<br />DECI'8AIIAtr
<br />I hcb.ALE r,!d6 rory of Fiay {'r I n i.td 6xt Flvibo of OlFa e (oD,lEtB $ti S<rion T(IDI or Divih I
<br />ot lh. E6iB &d Pre&.i!6 Co&. d.l ny lt@ i h tuI fo6 trd.ft6i
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<br />t}ilq3.b
<br />(atilalJ(Ilarx;rD cl(ift!(rIhdrty nnn und6[Enllt) oftEJun ltar rh!.ird codr!.lnn k 'n8qo.) finlh.p6r(mnnn..ofrlt.\o'r nr {l'(lrrhtponi ir
<br />is ..l lss 1097, ( n. C )
<br />algJ(lltrLotcl4EAuo!
<br />I H, .&E olda F .ry of Fi'!, m oirlE 6[o{.hi dctriiE:
<br />Ddolibn P6nb^rhao. iLorlfi.din F.darl l{llrbE (Tnh 40, Prr6)
<br />_R.$ri.d td''of t{di6.ih.
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<br />FtitlL ilE &d6d nalhiE rqr(lB dda Gfuvd G lEl ?plt*'L lo rhb Fljcr
<br />3&nry rrlr r rnt,a rt eli.rbn rn rdc fi. dE.how hbril.b to'.d- I.EE ro ordr ein rll cr,.rd co{r,ob -d slrc L.{ irlir to hilri{ .d'rdi,!. d harir.&.iE ,.FErri€ oldt ca, rd co{rr, b .rr l{o t
<br />.bor. nErbo.d FoFrt f6 n!p.<r
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<br />lrn &r
<br />APPROVALS
<br />,.,., l-)c^l?
<br />Meter Release
<br />D-\7-tV w.
<br />I
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