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<br />WORI(ERS COM'ENSATION Df, CLARANON
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<br />LICENSED CONTRACTORS DECL i NON
<br />I h4ty.frim uda pqldry ol Fjuty tnrr I D lic@.d u& F!vi.i6 of Ch.P|q 9 (@ciry with Sati@ ?000) ot Dvisio r ot
<br />tn. Bains Md P.orai /a
<br />CANIBICII9EIEDEC.AqlalI
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<br />bircd (Sc. ,@r. Civ C.).
<br />A'PIIC NT'S DICT, RATION
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<br />_ R.quiFd Lltla orNodfcrdo
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<br />Lfccniry u I trrvc raa rm cohply wrd nl City ud Counry
<br />din c6 sd Slr. L,B
<br />APPROVALS DATE tD/stG.COMMENTS
<br />UNDER GROUNO l/n/oz zo /z.o.t -*r,
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL $ lrrlh 5. ivJtl=ttt €<o
<br />Notes, Remarks, Etc f(
<br />Cily rxl Cery ro dl., lDo d!
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