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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />UNDER GROUND tl
<br />Waste & Vent I il'l,llYl
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent I
<br />Water Piping I a-\NI tll'l/aJt
<br />Gas Piping -J 1,./ t/ /
<br />Tub/Shower Test
<br />Rough Water Healer
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Lawn Sprinkler
<br />Sanita ry Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing I 4 tlNl1l/
<br />Final Gas Test I
<br />ll I
<br />FINAL ,1 'A rx v\\\/9r
<br />No tes, Remarks, Etc
<br />OWTER AUTLDER DE1TARATION
<br />I talhr .frii u& pory of Firy dr I d a.q Aur tb co6.d6 Lilt L& &. lt. blbeiB ,En (Sc. ll.5
<br />aotiE !d k ftr&D Codc): Ary Cly d C@r, sti.h .lquis . Frt lo 6nr.'rd. .lr. nry.lE &dolill' q lrt n -y!oun& Ft to ir. h'e...lo lr+irirlI +did for rdr FEi to 6rt. itr.d nid rt h.d16.ali6.d F in
<br />ro rh. Fviio! ol lL CoE:id r li6.d lrw (CtdE 9. C(alEfu wnh s.diE 70@ ot Divbbn I of rh. &!i6 .dd
<br />rDftrbG cod.) orl[r lEd rL i cial9( d!a!66 !d ti. t i fu ft rlspd aarylbn Ar, lbhnn ofsdb.70ll., b, e,
<br />.srli.d f... FDi $l,i.c. t!. @liqd lo..tuilpa.ly of ot nerhd 68 ho.H lblLr (t5{p).
<br />-L
<br />! o*Goft!.FrFty. ddy.qb)d winr!.rdEiit@rporrioG *i[&&6t dt nlaridti q!.Ld o.otu l6.L (sc.70r.1. auis &d PrDbio6 codc TIE cotr*rd r Li@ L.q dE aor oply lo -M of
<br />$. FlFry }to h|ilt a 4D6 rEd, -d dD doq ,6 Et hbdf q t rdfd rh$a! ni a h- os .qror..1
<br />Flrir.d fir idr nr$.ovqE r c d ici.d d ofn !d ftr *, l[ L,*.q. dE hrildre or iAioradr ir -ll| wtlE c d
<br />ordqlai,!. rb (nc h,E wil hE ll. httL olFlvit ln b.6rt (U lrl. hi6 d iSoE ln. F!Ft, i. dE F,laof
<br />_ l. soBE onh. FoFry, d q.luiv.ly 6rr.di.8 sirh licd.d 6lf-rm to @drru.r lh. FDjEr (S-. 7044, &!ilE
<br />!n hDirin Co&: TIE Coe-rd r L(qE L.* &6 6r.Iply ro d o*c olFoFr, *-i. buiLh d iopro6lhdEo,
<br />dd *ho @trld! 6. tu.t Flirrl wnh . ColEBlo(, lica!.d FBrd ro rlE Cotusror'r liqB LwI
<br />Sd'on r{)76 of rh.lihtr ( di. 'mEdandanolrB,s fc.a
<br />(L
<br />G-'lA-q ."n,o",o.{ C6
<br />{it tr,t,
<br />rn hq6, rr,DdE rqErriv6 or6it Cny id Coui, ro .riq l+on tlE
<br />I m .r.mfl urxb Sdior
<br />$orx,Lq.coMtpisalroia
<br />DECIASAIIO!
<br />I la6y .frm c!& pdr, olFjiEy r or E buovir &.bdi6:
<br />-l
<br />i.G .d r Eir& . Cdift.c olcod ro Sclf-ld! 5. wtd dipdi,o, . FriLd &. t, Sclitr lrlp oirb
<br />Lto. Cod.. e. lh. FhlElE ofit *dt foi liah th. Fdn i n ull
<br />I ntvc.,xl wiu mi .h mrl6 .o,tFEdbr illl]jei ! EquiFd b, Selioi 1100 of lh.l,D.r Co&. for tlE Fftua of
<br />llt Eri f.. *nin lIi Fril a i!.d M, *uto @,4qEri,i ianftc at rd poli.y 166. Gl
<br />.* (.qrt1 !1 !o
<br />*,., n,.0. Jn!\160411A{\-\-\g
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<br />Gtit th ii dE Ff.l@. ohh En ft. rltth rnb Fd it ier( I rh.ll6r.qby &y FD, b ey o-G
<br />. .lo b.6Bal,jclb $.eqio'@qd.li[ Lsofc.lilmi n l ryEdtr if t rLoL! bcoc ut*ri lott
<br />rc a' @'r.dbn FviirB of sdiE l?A of $. r.&( Codr r t[ ftnh ih @trdy pii dc F!viir..
<br />DIEIJAAIIO!
<br />I ta$r .ftuo oddd pa.ty ofFj{ry rL I e r.iiar ur& Fviid of chl.a 9 (@ffii{ eib sdir 7@) otDiviioo !
<br />of th. BBi!6. !n PtufrnioE Cod., .n Ey ftaa ir ir tul ft,R i.l.lE r.
<br />COIIS'f TUCTION LTNNTNG AGtsI!(A'
<br />I hdtit.ffm un<k Frry ol FJUr)'lhr rtac i!. orn.dbi ldos.sdy fo, rlE Ffdlle. ottlE *dI 6r shid! rnit Fri !
<br />!ru.d (sd.10e7. ( iv. c ).
<br />AIAJC/iULOICLEAEO!
<br />I ffir6D@da ra.l,olFiay c of lb 6[o*t C.L.i,..:
<br />D@oltbi P..ab^$.ro. Nodf.rb! Fc(k 1 Rriuhioq tTtL ,o. P-0)
<br />-R!q!i!d
<br />r.r 6of Nod6.rih
<br />-l
<br />cdiiry 6r $. ft&..l ..rdrb6 nardila .rb.r6 .q&v.l e E( eglirblc lo ltb FDj.d.
<br />-l
<br />6dly rh I Lv! dd thi tdidih d rr. rh tlE rDoE irfmii@ I dr.d. I ..E ro 6qly eitb .I ct, .d cddyod!e6 !n Sla. l^: ..!!B ro toildi,rg
<br />rh,\c nrrlr il .t\ir l,r ihlrrn{l
<br />Aprlol or t6l SkMllcL
<br />P.dltc u!. (p.l.rl !l^c$
<br />b',[1-.r
<br />,.- G"!fr fl
<br />I
<br />fllTt
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />Roof Drain
<br />I
<br />Water Service
<br />Meter Release
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