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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE lD/stG.COMMENTS OMd.Build!, D*taari6 <br />I ha.by !flim udr p6.lty of F.ju., tll.1 I m qmF foT lhc cor..ift' U@ni. Lrw f9r thc followinE 6@ G4 703 L5 BNir.* <br />d P.ofgioi Cod.): ny City 6 Cdty whicn rcquiE . p€mi( to cNEuc! ,lrd. imProec, &molhh n rcp.ir &y louc-turc, prio, ro rrs <br />issuec., allo rc{uis tic sppli@t forsu.h Fmitlo iile.5i8n?d ll{cn thlr h. or.hc ii li6!.d pMuut ro lhc Provitio.s or th. <br />Coiu&ld! Li.tucd tjv (CtBpt r 9, Cmha&in8 wnh sation 7000 of Daiii@ I ol th. aBins ..d PrcfdiN Cod.) d lhat nc or <br />sh. t d6pt th!,.tm ud lh. bGtis fd lhc .ll.s.d acn9ti@ Ary violuion of Setim ,01I t by My .ppli*r fd t Fmil subj.cls th! <br />appli{r ro ! civil F.lt, of trd no.t fim liw lutuL.d &lld (1500). <br />_1, a owi.. ol6c Fqrrry, or m, .mtloy6 wirh w.86 s rh.n sol. cmpc.s'rio., will 6 $. {orl ud $. sl.lcluE h nol i.r.nd.d <br />d oftd.d ld dc ( s.c ?o4d Bqin6 &d Pmf€idr Cod.: Th. Corsdd's Li6$ Llw dG not appl, to d oMc. of lhc propcny <br />who b!il& dimFova $.@n, sd snodc sch w thicdasn6df a lndgh hi! qh-own oploy6. Fovi&d t!.1iuch <br />imprcvddB e ior iit nd.d d otl@d fq 8.1.. li h Gvd, thc buildin! d ihprcvm.il i5 iold within on. yd of cooplcdon. tn. <br />Oud,Build* eill hlvc t. burd.n of pIbvirs lhat t. d sh. nd build or improv. fo. thc purpos. ol sal.). <br />_1, 6 owncr oa rhc p.op.ny, n .rcluiv.ly @rn.rin8 vit' licms.d @nE&h b @nrlrud <br />'h. <br />pmjccr ( 56 ?0a4. B6in.s and <br />Prof6rion Cod.: Th. Cdtrlctor'i Lic4c tl* do6 nor lpply ro d o*nd of Fopqty who buit& tr ihProvca thd@n , dd who <br />cor&rr aG lrch prcjd! wnh . cordo(t li6&d pu6ue( ro $c cdradoas Li@s. l,lw ) <br />_l m 66pt D&r Scti6 .B. & P C. f6 thir c$oi <br />WORKERS COM}ENSATION DECLARATIOI{ <br />I hd.by a,nm u.Lr p.nshy of pdjury onc of rh. tollo*ing d.clerios <br />,l n.vc sd vill minllin . Clnific!. of Conlorr to Sclilolurc ld w6ld' cmpasalion, s provid.d fq by s*lion 1700 of rh. <br />L€lq Co&, ior th. FtuE nc. of6c wdl for *hich th. pchit ! i!s.d <br />_I havc ud ,ill @in.!i. eai@' mF edo iBume. s r.4uiEd by S.clioh 3?00 of l1l. t bor cod.. aot th. p.!{omM.. of rh. <br />wo* fr which drii Fhir i! isu.d My worta:' @hpa3!dd iNuMcc sin ed Flicy nunb.r sc <br />Poliry Nqnb.r 8!pit€ <br />(Thi! s6rio't n6d nor b. complacd il thc p@nn is fq Onc hu&cd dolla Il I o0l 6 ls) <br />for which dlir Fnir i3 i$ucd, I ihdll.s of cdifdia ed a€rc ri.r if I <br />L$c Codc, I shrll, ionnwid <br />wodr6' cmp@$Iid 6va!8. is & ddoyd lo 6inin.l p...lli6 ddcivil <br />.bll6 (l l0o,0o0),in .ddni@ ro th.@ or rbm.a6 6 provid.d fa ttc S.cdo. 1076 of <br />I h6cby amm udd p.nalty ofpdjury rhol <br />l]1c Buin6t ed Pofdid Co<L, 6d my <br />u crprovisi@ orcn.pn 9 <br />I hftby.mn undd p.i6hy ofpdjury rhlr 6d i! r cotualction lddiig atdcy fd lhc p.rfm ccoa$cwoll< fd {hich rhis p.mn is <br />hsucd (Se 3097, civ. C ) <br />APPLICANT'S DECLAR IION <br />Ddoltion lmils-Ash61o5 Nodfielio F.dqral &.rularios (Ttl.40, Pln 6) <br />_ Rcqutcd t tl.' ofNotilic.rioi <br />I cdit Od{r. f.d6.l rcsulaio.s rq&dma sb6rs <br />-d ^nrn'*,- ^o+pl'c!r,6 <br />ed d.dd cmply with dl ciry and county <br />ordinoG Dd slsl. L!w! r.l.lirg !o buildjna <br />abovc md6o.d prcp.ny f6 inspc.rio pu.p66.s\ <br />) <br />i <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 />Ptrap/Drain 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/Cap <br />Back Flow Device <br />Rough Plumbing TD <br />Final Gas Test <br />Meter Release FEB-I zuts <br />FINAL <br />Notes, Remarks, Etc. <br />fic Lab.r Cod., intcrql ed atroh.y's t6 <br />f------T------ <br />f------T------ <br />-------T----- <br />I