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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS OM.'-Build.. Debrlion <br />I ltcby amm und6 p6dry of Fjury $.t I im .xdF fm lhc C6r&r6' Li6rc tiw for rh. rollowins Bo Ge ?03 I 5 B*inds <br />d Prcfcid Codc) ADy City d C6ty *hich r.quiB, . Fmir !o cGruc, .lrd, inprc!., ddnolilh or r.?dmy sEucruc, p.id ro iE <br />isse@, 6l!0 quiB th..prliqst 16 iu.l pdmt lo tilc . !ig.d lllrqn. rhr h! d rh. ii li@ntad psudt to thc Drovisio! oa rh. <br />C6E&ta! Liffi.d ln (Cnl,rq q CoMcinr enh S..tiotr 7O0O of Diviri@ I of $c Bsir* ad Prcf6i6 Co<t ) d $!t hc d <br />lhc is cxdpt th6!e.@ xd tn. bBir fo lh. rllcscd .rnpri6 .Any viol.ri6 of Slcrion 7o3l.J by M, .ppli@r fd s p.frir subjc.r $c <br />aPplicer to s .ivil pa.lg of nd 'le the fi!. hui&.d .bll6 (1500). <br />_1, a ownq ol $. Fopdty. d my mploya with *.gq! a rhrt solc cmp@rr@. will do tnc woiL sd rhc rruclu? is nor inr.nd.d <br />d ofiald f6 r.l. ( S6.10:14, DBin6 ed PofeiaE Cod.: Ill. CdE .ld s Uc4G t * d6 nd .pply !o s oMd of l]l. prop.fiy <br />vho build! d impiDv6 thffi, ed ,ho d.d ,uch vdt hi@lf d h@lf r $dd' ni, q hq own oploy6, p.ovidld lhal'ucfi <br />ioprovmatr @ not inrmdd d oftc'ld for !.1c. Ii ho .G, thc boildiDa d inpbrctMr i! iold wilhin on. yd of @mplc.ion, rh. <br />Offia-Buil&r witl h.v. tlE bntla of prdint dl.l t. 6 rh. nor build d itrp.wc f( lhc plrDGc of sal.) <br />_1, a Ma of $. p.!Ftry, D .rcluivcly .@E&ling si.h li@s.d @a$lG ro cdsrrtq lh. prcjct ( Sd. 7o!,4. Duii* ud <br />Prof&ion Cod!: Th. Cot,!.1dt Lic6c hw do.. rct rptly !o s owr6 of propmy vho buil.b G improto thn@n . dd who <br />@nu&:lt t* sch F!j@a wnh . C@t-ld(t) licad polier ro th. C@r.cldl U.ae l-3* ) <br />_l h q6pt ud.r S6do .B.&PC fdrhiil!.$ <br />D!r.: Oen6 <br />WONXXTS COMTENSATION DECLIR TION <br />I h@by .fUm eda p.nlxy of FjBy @. of 0E folldin8 &.hr.rid: <br />_l h.!c ed *illnainhi. !Cdifi.r. of CdarroSclfl uE for wdtd!'. cohp@srio, s Fovidcd f6 b, S.c1io lTOoofrh. <br />t2!or Co<L, fd rh. FrfqtMe of dr. rdt fd whict th. Fnn i! i$u.d <br />_l havc od villtuituin wdt6 @p@r.lio ituume, s rcquircd hy S@tid 37oo of 0r Labor Co<!c. lor $c pcrfoM.. of rhc*ort for *hich rhis Fhit is isilcd. My {.*d' cohpdr{io inslmq. @id od policy .uhb.r de <br />dffi:ffiffi;for onc hsdEd don$ {ll0o) ole) <br />which lhis p.mir is i$u.d. I sh.ll <br />of Califmi., rd.BrE th.r ill <br />@Dpcnsarion prcviraon! olSft d6 ofrh. Laba Cod!, I shall. fdrhwith((-o <br />WARNTNG: Failurc ro idE vqt6' @Fns.rion 6v.r.s. k <br />fin6 up lo on. hurlr.d thoBMd dolld (l r 00,000).in .ddso. ro <br />ro 6imi..l p.nal 6 ud cilil <br />$c @r o{ cohp.6dion,dlh.Bs 6 providcd 16 lhc S@rion 1076 ol <br />lh. L.bor C6d., inlc.6t&dslrm.yk f6 <br />LICENSED CONTRACTORS DECLAR^TION <br />I h@by .fim ud.r pdilry of Fjury Ort t 6 li6;a utrdd prcailio oa Crllpra e <br />lh. Bsiis dd Pdfdiot Codq ed my li.s. tu in tull foc ad .fc.l <br />-o <br />I h.Eby .flid und.r pc.dry of Frjury $ar rha. is ! c@rudim loding .gacy for lhc <br />$u.d (So 309?, Civ C) <br />ofrhc,ok ls which tni5 pcmit ii <br />APILICANT'S DECT,ARAAION <br />Dnolitaon Pmn!As661d Nodficrie F.d.rrl R.rul j@ (fnk {o. Psl 6) <br />_ Rcqun d kt6 ofNorificatioi <br />ab6vc Mriq.d prDp?dy for inrp.ctio <br />dd Centy to ara upo tic <br />UNOER 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{raplDrain Line <br />Main Drain/Pool Piping <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 p <br />Back Flow Device <br />EXPIF ED <br />Rough Plumbing <br />Final Gas Test rEU I ZUIJ <br />Meter Release iAMC 8-43. 29r ).556 AA7 <br />FINAL <br />Notes, Remarks, Etc. <br />----T_---- <br />L--__l <br />t----t