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PLUMBING.INSPECTOR RECORD <br />APPROVALS COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Buildino Sewer <br />Area/Storm Drain <br />lnterceplor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P{raplDrain 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 />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release <br />FINAL <br />OWNEf, AUIDER DEI'ARAION <br />I bqtt, rn"D srda ,o.i, of Fiury lhr I e qq. nlo [E c6 -rd Ltq* L& tor dE folbshs lm lsd.7ollj <br />&rin r. !d Eoftri.{ cod.): Aiy ciry d c@ny rnth ilqui6 . Fmi ro o'.nxt rlrc. !T.oc dselat or !.9& ny <br />taldc. Fi.r lo i! iEEq .lo Eqriq rh. rdtd for &d pdli lo fil . rigr.d rr'El lL |l d rt b li.t!.d ,E-d <br />to tlE Fviti,I ot rlt Conltld r Li(c!.d Lls (clr+6 9. c6|ll,criry wit Sctih ?o0o of Ditb. I of lla BBit(!. rld <br />Ptobb6 cod.) d rh.dlE.a6Fl !a!is! !d tlE b.i ror IE.lLB.d @'ii, Ary tblrin orsarbn'rol1., lry a, <br />eplqc e..Fri st*rL dE {?lird ro.ovil Fd}or@l ffitlt f* hurhd dtlbr (!Jm,. <br />-l <br />a oqc of tb FoFrr, d Dy apbtc rtt rr.6. th.i DL oEpdir\ xi[6llt rst rn dE rrtllc b Dl <br />iran d do&!d &r.t (Sc.7oaa. Bo-E rld hotri,acodc TIECo t-rdrlj.!Etn&66r{tl}lo-owof <br />dEFlFq elD t ilo c iq!€llEe.n *lD.bq rdr Hr &r.lld t df d lhDlsn hi. d lE om apbtc. <br />Fovild rh rn bpoGEr' n 'tl irod 6olH ft. rl. lt lDrrq.lt. bddi,l d i't NEr i Eld waltu G )c <br />of@rrLin rlt Ovi. Euitlq *t[ lrr,t tlr b!&r olFwir da h or CE did frr hib d bFrm tc F!Fr, tr tlE Flrrcot <br />l.co*n6olrt rlpd y. Mr c\clur cll. codrid mr * ilh lrcosd c.nrrido6 k, .dni n'.' ih. ttrid l s\_ Trtll.ltnios <br />rnd Pillishn ( od. Ihc(onxs(roir !.r.nk l.!s do6 nor alplvro uo$nd olpr(T.nr sho hu'ldro! tr rlro\6thdd)n, <br />ond \ho co mcl' t(n rNh pn,j<k \ith r ( onrEdo(t li.d*J punumt tu rh. ( in rn (triLi(ds.Lis) <br />I d.icmpl und.. Sdion .ll & l'(- nn rh( '.rq,i <br />r0af,!88:coltrfdtarl0! <br />OEqJAAIIAT <br />I h.nrby ,trd u.& Ddrly olD6iry oE ofrh. 6lh*i!. (bbiiE: <br />-r <br />bc !d rill obi . Carih! olcqE to Sdf-hc ft. 6lar' .otnedii. . FdilC ft. b, s<riD !7u, of 6. <br />t-&r Coda h lIl. Fft.E.of th.6t ft..itt dr Fri h i*d <br />I l*. Dd rill ui' .i, wo.ta spqdir ial,tc. - rq!ftd br Sdin !r00 of rlrc rib.r Cod.. fo. E poij.!!& of <br />llt wt &. wht[ lhi Fhi a i,..t My vdl6' c.trpqErin iffi nia .i Fli'y mnb6 G <br />,l LCr^P"t)rc.lt f't1-- (uAAzL /6s -+ <br />I c.difr lhlr in rh. Fntrm.c. oflh. \ort ntr \hi(h this p.rnit is iru.!. I lhdll ton dstk,) 0n\ Fs'n $.fl\ rrnF <br />e alob<od.ruh|<tl.rh.q !dr' $npdsrn'n hs r of (rlifomia. 6Bl nlK rhd if l J$ukl h(r. E rullNl r, lhc <br />$0l{6 codpcnexon pitristr\hsofs.1io. i7o(rofrh.litrtr c.d.l siall.lonhtrilh(o dr Nrh rrn'r r.\ istr,nr <br />lt^e!ll\G' |irlu'c h s-u,c No'!c'l ron'tE,!{kr ro\o!9. is unlNtul. anJ nfll n'I,i..1 r drt)lf\d t)., trtr,i] tyFh6 ed <br />cnil fi,6 uI' ro on. honn'd rhotr$n,l dollars ($lllll.1r{)r. <br />'n addirrn n, (h...sr .lelmtk.iri\i. rhnrx.r tr\ r.\ .d for lhc <br />: l=t +*-no),.ro KxsWttAlql <br />ltLtf!!J2-1-1\IEr1_!!lX <br />t)r ( r \n \ r r()\ <br />I i.rtr.frD uo& ldlyolFjEr 6. I E to.d <br />'6dE FlId ofcln g (ffiha urt S..rbo nXD) of Dn&n l <br />of tt &ir d ltDt-ECo& d cr ltc i b tuU ft.!. ry*.r. <br />164q ? <br />Bro-e-,,2t( q <br />calllaugrra!..LElDlacl(lE((l <br />I hd.by .nm urd6 Frhy of Fjury rh.r rhd i! . cointodbn t.lnrs isft, for rh. Fa('l!Mc. of ih. Hrt f.r $ hrh rhit Fhi il <br />i$ud (SE. :r00r, (i\ (' ) <br />Aftu(atrricltEara! <br />I Hy .&r u'dd p6.i) or pcjuy or ol fi. folloqin8 &.1&.tbB: <br />D@.lili,n P@itr^rt 16 tlolifr.lbn f.da R.8lldios (Tnk {0. P!n6) <br />!---Iqr!!d t t'of Nodf.rd <br />>W*rr,*unrebor.E dr* &6 ,*rd G d er'd6r. b rri Foln <br />-l <br />cltiry Oi I fic Ed rhi 4plitbtr -d r.r. th, dr rb.E intorn bn ir od I raN lo onCt [ih tll ( ir, .d colmy <br />ddi.,tE.!d S{r.l,{ Eii{ ro t iuint.olEo<rbtr n6 olriir ( (i ind (irunr\ tt 6r. urondE <br />' ,",. 3 ht lG1 <br />.!oE e!rb!.d FoFry fc i!S<r <br />Appllonl or Aadr Slan.u i:*Ea? '-i kcp)r\) <br />ADE <br />DATE ID/SIG. <br />lq-/a-/, <br />Notes, Remarks, Elc. <br />/'ta-r7 ^AJK ut)o yt- c-oa p oc-attto ov txnL prl f <br />lral J),