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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release A\
<br />FINAL
<br />OWNER EUII-OER DEI,('ARATION
<br />I hs.br rmm unds poElly of Fjur,v lhd I m.rorr run lh. (i r[toc l.icd'r lis for lhc fin[\ri.s i$a]n (sd.7011.5
<br />tldin-r dd Piofeion Co&) An,(ir!.r(ou'ryshih..1ur6! tsnir r....rnrd. rkd, mln r.. &mlnh Etu iy
<br />ntud@ Fq ro nr isie.. rto Gpi6 ilE +dkd lor kh Fnd b fik r siEr.d nnmi rhd lE or srE ir ltct { FriEr
<br />!o rtE For6r6 olrtE Co,i,aroa! 1.i6.{ lls lchrrrrd 9. coD,lft'ns \nh s<rin ,m0 ol lh kion I ol rlr lruriB ad
<br />Pr.fdn,m (-odc).r rh,t h.( iE i!.!sq{ ih6.,mm..d rh! tBi! aor
<br />'h.
<br />.ll.t.d .Gnrx $n A.} rhllno. ots.(tnn 7l,r I 5 Ly dy
<br />lpplic! tu r p.mril rubjdrrh. nppli.. lo !(iviltmhyof nol m.GrhM fir.hu.d,.dd.tl$IIttxr)
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<br />@c oirh. FoFr. d Dt orpSla $it wB6. rh.t.k @,!Fdir. wi! 6llE$st d r ntda. i rbl
<br />iraiLd d okld ld r.l (S-.r044. Edis rd ftlbb6 Cod.: ft. Colrrdd. Lilt t^ dq d ndt h a nw of
<br />rlEplFry stD hdlll d i,rFlE rlEa! .!d e{n .i- idr w* timlf or hdldf o. rhnugh hi.6, h. o$! dployG
<br />Fovi<,.d thtt uch iDFlrqEir! e ml trcd.d d otu tlr rL. ll, ho$!E,llE hiHlB.! in .st6ll i. sld sthii w,6
<br />of ol?bin! ft. orc Buildd eill hE E hrda ofFlli|I 0|l lt6{r dilm| to,ld or inp.lE dE FlFy tr rrE F,F..of
<br />- l.6oqE oarh. rrrdy. d q.tun.ly com&liqr rnh licda.d (o,rruk 6 t,.ddM tlr Forrl (s( ,o1,1. flGrnd
<br />r.d PDtsrm cod.: Tn. conir..l.r'r l.icd.l.!w dod ml.tplyb.n oqnd ofrnorEl) *ho buildr or imFovd rh.F,n,
<br />.rd *ho omdd! lor iu.h Fnj<l! *irh. cod.cro(O lBaa.d punw u rh.(bnteroas Lice l,N)
<br />_l 6 6alF u&b Sdbn_
<br />!a8xE8!:CAMEdlArI0!TIOJf,AIXI!
<br />I lEltt.Irm ur& Flly ot Fi'ry oo of t iolbrt <L<bni6l
<br />I b.E ,.1 f,.ill uill.b . Ccriftrc of Cocn lo Sdl-ll!& lr rdlct otrDdaion d Foridd fo, b, Sdion trl)o oflt
<br />Lrlo Codc tu ri. FfomlN of tlE hlt tor unth $. FnI i iqu.d.
<br />_l hrE ]d qill ui,r.in m d sn$drrior i,Me ! EquiEd b, seiir ll7(r, !f rlE t bor (.d., h,rlEFflrrcof
<br />lhc wt fd *ntt lli Fnil L i!!d Myf, td oqdrrih i]fu.-iE.i Flry tunbd r
<br />I .dify rlur iu E Ffo.tu4 of E *o fd *lth thi. p. i i. ie.4 I tldl fl onpby ay Fbn in .ny r'll'm
<br />h 8 ro tcnDc utid ro rl* w*d onFr.bn lM of crliroB'!- rnd .sE rllr af I .lbou bc.re xl*$ ro llr
<br />sd.6' oftpdurdoi Fo!i.io6 of sdir 17oo ot rlE ltlnr cod.. I rrull fo.thairfi ..mp[ wnh
<br />civil fr6 '9 ro o* ll0ld thd@li <b[-r (tl
<br />I
<br />I hd.!r.ftm uid- F yofpdjur] rhr I in! s d h Sd16n ,fi$ I .l l)i\ iim ll
<br />of rh.llurines ond t'lofGsnns ( odc, dxl trD lcctrs. k ir
<br />,,.," 14- ti
<br />I haltt .ifh uftk p6dt ol Flurt rhr olrtE srt tu $nit rhi. Fd a
<br />f\u.rj(s( 1(rq7. (i\ (,
<br />AIIIII;AXI.DfdJAAIIA!
<br />I ndtr.n'm cid6 Fr.t, or Fjlry oe olrt follori.r <LcLrdiou:
<br />D@li b! P-!!ie^lldd Ndifi.rb! F.dad R.auLrin {Thh ,O. tir6)
<br />-Rc$i!d
<br />t raof ildihin
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<br />c!i' rl'n! ddBn,r ,.,,tr\ nl r io( nt,ti'.nbl.r, rh \ tr!r.d
<br />c6Br I .sd ln odt *at .ll Ci, .ri Co!d,
<br />n€ otrhn c{} -d cor.rt io d. rro! U.
<br />I cqlifu rhd rh. fcr6.lrcsubr
<br />U:Lo -I
<br />lBt/r/$&Ail
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<br />Notes, Remarks, Etc.
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