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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OMd-Build.r D..l.rllid
<br />I hncb, !fiim !nd!r p.n.lty of pdjury lhll I s cr@pt fm $. C6E&r6. Lic@. !N for rh. rorto*ins ll@n (18.703 t j Bdi.6s
<br />ed P6faio. Cod.): Aiy City 6 Codt, *hich rcquiE r F nn to @!rr8r, .ttd, inFov., dootiih o r.p.,r ,y sulctw, pnor lo i!'
<br />sr@cc, dio rcquiB rhc.ppli@t ld rucl! panit ro filc r sisn.d si.r@t {!.r h. d shc i.li6Ed pu6!s( !o rtE prcvilid! orrh.
<br />Conlrtlry! Li@sld L.w (chlptd 9, Cl,Mocins wi6 Sccioi 7000 of Dvili@ 3 of thc BBinB and P'ot6lios Cod.) or thar t. or
<br />sh. is d6d Oa.t$n -d rh. ban f6 dlc sll.scd qanption Any violsdo of Sc.rid ?03 I 5 by My appli@r fd ! p.tuir 5ubja6 lnclpplic t !o a civil padry of nd ,D@ th& fiv. hutulrcd dolls (J500).
<br />_I, ae om6 of 0!G For6ty, d ny dnployd wi$ -.t6 G rh.i Eol. mpas.!i6, will do $. *ort ed thc rulcre is nor intc.d.d
<br />or ollcod aq r!t. ( 3@.70:13, Bsin* &d Prcfdi@ C.d., Th. C.nErdtr r Lic.@ I, d6 nd .ppty b e Md of lh. p.oFny
<br />who bdl& r ihFovB lhoq, ed who d..r .uch edt hi@lt d ndr.lf r lrEqSn hi. d ha @n mployG, Fovid.d $& such
<br />imprcvmdu @ nol intadld * ofl6.d fd 3dc. I( hsdq, thc brildi.g c improFfrol h iold eirhin onc yd of comptaio.. rh.
<br />OM6'Bujl&r will hrv. lhe bslda ot FDvin8 $.1 h. 6 3hG nor blild d in[.oe. fd 6. purpc. or s.]O
<br />_I, B oMn of d'c F.paty.6 qclwiEly 6f..tina ri$ li.ai.d @r&rd b .NEucl lh. pmjet ( S@ ?Oaa, BBitr@ Md
<br />Prolqion Co<L: T[c Cdrr&rort Lica@ L.s ds nor .!ply ro o oma ofrropcfiy eto buil& o imrev6 $tu , ed {ho
<br />@E&it fq $ch Fqj*r! ,iri . csl.!co.{i) lic4rld ,!,!ur ro d. c.draor'! Li6s lrw )
<br />_l m .rmpt 6d.r Scrio .B. i! P C. for rhir rc€s
<br />D.rq o*n*
<br />WORXEf, S COMPINSATION DECL{NATION
<br />I hcby amm ud<r po.lry ofpajury on. oflh! foll@ins .t cti,{io,i:
<br />I harc dd willmrinlain s Ccnilicab olcons roS.lf-tisur for vo*es'cmpa5ado., s provid.d rc by S@ion 37ooofrh.
<br />t$o Codc, fd rh. pcrfma@ of rhc wqr rq which rhc pahn n isucd
<br />_l halc ad *ill hai.r.iD *dtm' .dpcns.tio in,uMe, d r.quir.d by S.crion r?oo of rh. L.bol Codc, for rh. Frfomdc. ot !h.
<br />work ftr which $ir p6ni i! isu.d. My worl6 compos.rion insuMcc 6ie &d policy nlmbd &
<br />Cni6
<br />Policy Nunbq:_Expir
<br />(nu qdd rcd nd b. cmdcr.d it lh. Fnll is
<br />11"^r, nr, t^^, *r^k orrh. wdt rs
<br />bc.Mo lubjet b rh. wdr6 c@D6E ,tio IM,
<br />16 Oi. hundr.d doll@ (Sl00l 616,
<br />whid lh& p@n i3 ie!.4 I
<br />of Cllildio, ad !sr* thd
<br />onr of Sdion 1700 6f d,. l-,Id
<br />0
<br />wARNtr{G: failurc ro s.qE wdt6' c6pc,s.rion
<br />fin6 up ro d. hundr.d tnoBud dollc (3 t m,ooo),in
<br />ln. kbd Codc, int@l 6d rnm?y 5 i.6
<br />d dployd to qimind p.nalri6adcivil
<br />ddirjd b tn. 6r of ffiFr.rjo, dn.a6 6 provid.d fd lh. S@rid 1016 of
<br />LICENSED CONTRACTORS DECLAII,ATION
<br />I ho.b, lmm u&r Fr.lty ot Frjury th3l I h licas.d und,, p.ovision oa ChiFd 9 (
<br />{h. BBin6s dd Prcf6ti@ Cod., &d Dy licas. it in full arcc dd.Irccr
<br />/t-o
<br />I hcEby amm u&r Dcnalty
<br />i$ucd (Sa 1097, Cir. C.)
<br />ofFjury $.t the ir . c.o.tu.ri6 lodin8 .gncy fq rh. pqfmec. of rh. wort fd shich thir p.mir is
<br />A}PLICANT'S DECL X TIONDoditid Pmilr-Arb6to. Nc,rificltior Fcdol RcS .riw (T . ao. P.n 6)
<br />_ R.quircd Lard of Notifi.rid
<br />City sd Cou.ry to 6td upon $.
<br />.bov. lMrio.d prcpqry fd iBp6rid' pwpo.6 Zl- t /-c>
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pi ptng
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Ca
<br />Back Flow Device
<br />Rough Plumbing EXT ,IRED
<br />Final Gas Test
<br />Meter Release FF.B I ZUIg
<br />SAMC A-1:r
<br />FINAL
<br />Notes, Remarks, Etc
<br />Building Sewer
<br />I Gas Pipeing
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