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PLUMBING.INSPECTOR RECORD <br />APPROVALS tD/srG.COMMENTS Om6-Build.t DlclEdon <br />I hftby aflin u.d.r parlty of Fjury dEr I d cxmpr fm $. Cdd&lo6' Licm. L3w for rhc followi.t !!.@ G@.701I J Busii@ <br />ed PEferio. Cod!): Atry City or CMr, which rcguiB r pcdDr lo dtftcq !lld. improvc, dqroliih or rcP.i oy mdui, Pnd @ iE <br />is3umcc, also rcqutB lh. +pliol fdlu.l pmtlo fiI. !3i8D.d nal @r t.lh. d 3h. i3 lictucd psust ro 0'! Proviiiont oflhc <br />conreior,s Licdcd Lrs (Ch.F!r ,, Comacins wirh s.cri6 7000 of Diviiid 3 of $c BNirBs dd Prof4lio6 Codd d 0'.t h. or <br />rh. h d.npl thd.frm ed ltc bsi! fd 6c dlc8.d ddDPnot .Aty violatio, of Scction 7031 5 by dy tppliot ftr . p.mil .ubj6tt l,\. <br />.ppli6r b a cieil p.rslry of not m6. lh& fiv. hqd'.d d.ill6 (1500). <br />I,E oMd of $. propcfiy, or my nployc with *tsd s lh.ir solc c@p4dion, vill do th. vo* dd $. tEucruc ii nol inladcd <br />or ofldld fr d. ( 56.?04., Bsire ed Prefsiort Co.Lr ft. Cmr&M s Li6r. L6w dB nol aPPly to u oMd of rh. Prcp.rty <br />who buil.b or inpov6 rhE oi, ed rho dB luch wdk himsclf 6 h@lf @ thDush hh d hd own dploy$, !.ovid.d thll 5ud <br />ihp.ovmac &. not iararLd d ofidld fq !s1.. I( h@4d, $c buildiDs q ihprov.Fmt i! .old *i{ii onc yd of @mplcio, dt. <br />Oend-Buld.r will h.rc rt. b!rd6 of proving Ihat h. or ihc ,o! brild d imFov. ror L'1. PulP6. of salc) <br />-1, <br />6 oua ol !t. prcp.ty, h dcluiv.ly .dFactin8 silll li6s.d cont etoR b consrucr lhc Foj.ct ( se 7044, B6it6s lrd <br />PEfsdotr Cod.: Tt. CoDf!.1d'3 Lic6s. kr do., nor apply ro e omi of prcprly *ho buil& d ihprov6 $.@n . Md who <br />coit .cG a0 ruct projd! vilh . coiE&lo(, lie.&d p6u&r ro u. conErdors LiGn! Law.) <br />_l m anpl Dda S.clion .B. & P c. fq lhi! @o <br />WORKERS COMIENSATION DECLARATION <br />I hdby affim !id.r pc..lty of p€jqry on. of lh. rollwinS .!dlerio6: <br />I tav. ed will ndinhin ! Ccnlficat. of Cd56r 1o S.lflnsw for {0*6' cmPaBatioi, 6 providcd fd by S41ion 3?00 ofrh. <br />Labor cod., lor $c p.rfroc. of $c vdk for which dE p@ir iE i$ucd <br />_l h.v. ad vill mainllin {dld' conpa!.!@ iBoBe. 3 BquEd by S4lior 1700 ol thc Labo Co<L, io tll. pc.fo@.c of ,'G <br />wo.k fq whicn ti! pahir i. isucd My work6' @mFMfio iNu6* csnd ud polky Ndbd 4.. <br />Poli.y N@b.r-ExpiB: <br />(n i' s?dion n..d no! bc @npl.i.d iftlE p6nit n fo O!. Itu&ld &lla {1100} q ldt) <br />-1n* ^.^,n*"*.t.a o o. <br />dolla (l I OO,()O0),i, addili0 s provid.! f@ lh. Slcio 3076 of <br />6 li@sd 6.!d pDvirion ol Ctlda 9 <br />is in aull fnc. ud.fi.cr <br />$. p..fmsc. of tn. work fd which $i6 p6r'n ir <br />Civ <br />44UCANr.!tDrS!484!Or <br />D.holiiion P.mir.Asb6td Norificario, !.d.Bl R.Bulalio.s (Ti{. 40. P.n 6) <br />_ R.qui.!d Lr!6 ofNodficaio <br />-, <br />.ortftll"r r. r.oo"l l!s,,t!ti@ Erlrdins <br />Z4t "atty ,t,, t r,n,,aur pelicllior &d r <br />ordindc od Sur. L.ws rcl.ti.g b buildin8 v6 of tht Cily ed Counly <br />ahov. Mion.d propcny f6 i*p..lio <br />UNDER GROUND <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 />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 EI\r I I\E.IJ <br />Final Gas Test rtro Lntq <br />Meter Release <br />SAMC 6-4 3.200,556,i67 <br />FINAL <br />Notes, Remarks, Etc. <br />DATE <br />Fill Line/Back Flow <br />I <br />-------T------ <br />-------T------ <br />------T------