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APPROVALS tD/stG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Buildi Sewer
<br />Area/Storm Drain
<br />lnterce tor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-tra rain Line
<br />Main Drain/Pool Pipi ng
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanita Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbin
<br />Final Gas Test
<br />FINAL
<br />Notes, Remarks, Etc
<br />OMtr-Buili&r D.daii6
<br />I h@by .flim od.r Fdr, of Fiuly d! l & ddF fm lhc C6n .ro.r. Uc.n* kw fd $c follosinS ra6on Ge ?0j L j Buiji65
<br />dd Plof{im Cod.) Aiy Ciry or ftuly f,l d r.$j6 . Fnn to @crru.4 stla. improt!, darctiih or Ep.jr sy srlctuc, pnd lo ici$@e, dlo llquiB U. qplior f6 sud FDn b frl...it cd irhalt 0!.t t. d rh. ir tic@cd p@!er ro rli. prcvi.id; of lhc
<br />cdE-lort Li6.d t& (cll.$6 9, Cdn,mdn8 *irt sanio ,ooo of Divino ! of rlE Bsitr6 ed prefBi@ cod.) q d h.d
<br />lhc ir qnpt $@tm &d fi. bdh f( tc.lcscd aarpdd
<br />^ny
<br />viol.li@ of Setio ?o3l J !y dy +pli@r fd. FEn 'ubJeB $G
<br />tppli@t to . .ivil pddty of trd ,ro.! thx fiv. h6<b.d .bll.ri (5500).
<br />_1, a om.r of 6. Fopqr,, 6 hy hployd wi$ q.r6 rs rn.ir iot. omFBlrim, eill do $. wort &d tt. 3nucrG ir nor ituend.d
<br />or olId.d fd !il. ( Sd.?0a4, Buirs ud PrcfBiN Cqt r Tn! Cor&ldt Lic.e t w dc nor.ppty lo e om( oa$. p,op.,q
<br />who buil6 d inFovq A!t@, ad who d... ruch vo* him.lf d hd&tf c rh@dr ni! d t6 own @ploy6, Fodd.d rh! so.himp.ovmdE u! not int .d.d tr offdcd for r.lc li h@a6, lh. buildin8 o. imprcvmdr i sot.l wiorii o.i! ycar of @nphdoo. $c
<br />OwDGGBuil.L, *ill havc $. burda of proving $sl h. d thc nor boild or ihp.wc fo d. purps. or '.10.
<br />_1. E oqo of th. prcFry, m qclBi,cly conr..1i.8 *i$ li.cnr.d otrsrm to.@t ucl dc,,ojel ( S.c 7044, Bsins mdPrcf65io Code Th. ConE dor" Li.6s la* d6 not .pply ro d *id ofprcp.rty vho brilds d inD.ovs gcMn , dd who
<br />coitreE ror rEh prcj{n yirh . Co!!-rld(3) li6!.d pq@r ro rhc C6E .ror,s U@r. tlw )
<br />_l 6 lxdpl u&l Scd6
<br />-B
<br />& P C. rd6ir!t&n.
<br />Om6
<br />WOf,KEXSCOMPENSATIO DXCI"AXATON
<br />I hd.by !fiimu.&rpci.lryotrrjuryocof $cfollo,ins&.lori :
<br />_l hav. ad *ill Binr.in . Caili.!. of C@6r !o S.llI6E fd wsi@, .@F.r,ri@, 6 prcvidd fG by S.crid l?Oo ofih.
<br />Lalor Cod., fd thc pdftu€ ol dE worl fd wfii.h ih. p@il ir isucd.
<br />_l hN. e.l will D.iDt io wdt6' cdFrurio. inllme, s rcqutcd by Sccdo ]TOO oflh. t bor Codc. for $. p.rfoms.c of rn.
<br />wod( ror whi.h thir pqmn i! i&i!.d My wdtd comp@$tion ins!fua @ia ed poticy nunb.r ar.
<br />#;ffi:ffi;for Onc hufldrddolls lll0o) o 16)
<br />which thir qcm'r ir issucd.l shall
<br />of Crlifdi.. Md lau rhd if I
<br />@mlcns.Iid Fovisions -ob of 0t. alba Cod., t rhall, foniwid+1/
<br />WARNING: FailuE to seuE wo.l6, cdFs.rion @vaas. is
<br />finB !p ro @.hu !'.d rhouod &tl6 (31d.ooo),ii .ddirid ro rr.a p,ovid.d f{ .h. Serio. ,016 of
<br />lh. Lrbo! Cod., inlcBr &d irbm?t fc6
<br />I hftby alfim unda pa.lty of Fjury rn
<br />LICENSED CON'TRACTORS DECI,ARATION
<br />.r I d li@3.d lnda p.oririon of Chrpr 9 wnh S.crion 7000) of Divi
<br />L'6rccls L63c Nmbcr,",,\4-(-o {
<br />undd p@.lty ofpqju.y tn.l $@ i,6 coE !di@ lodira.sacy fa rhc rh. worl for which $is p.mn ki$ud (S.c. 3097, Civ. C )
<br />APPLICANT'S DECLAR.ATIOIi
<br />D6dition Pmits-Alb6t6 NoIfodo P.d..rl RcSul.ri@ (T(.40, pdt
<br />_ R.qui..d Ld.r olNorifidtion
<br />t -"{tu
<br />7*"o^.
<br />$. fcdml rc8uhliod ics dinS sb€l6 Efrovd .pglic.blc to 6is FDjet
<br />I h.v. E .l oit Tglicnio ed !l'l. rh.r lhcodineB Dd SU1. L!$ r.lring lo blildins
<br />.!ov. naridld ,rcF.r, fd iriF.ti6 pqrp66
<br />9.t er-lGo(
<br />PLUMBING.INSPECTOR RECORD
<br />Gas Pipeing
<br />Roof Drain
<br />tFn
<br />Meter Release FFq I z0t9
<br />Policy Numb.. _-- ErD'c
<br />ih. Bsin6! ud Prcfcssion! Cod., ql my limsc ir in fstl tdcc ud.,Lcr
<br />I DATE
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