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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE !D/SIG.COMMENTS ()lVNl:R lltIll,lrl:R lrl:1.( ARA I'l()N <br />nl)plicilnllirrilpcrilrilsulicclsllE ilpplicilnlk,neirilpcnxll)(,1'[oltrx{clhxtr,-i|clNrtrIe(l(Lrllilr\(S5lX)). <br />s:1 lc ). <br />-latltcxclll|)lunrlcrScclit,tt-.l}.&l,.(..lrrrlltist.citstrtl. <br />Dule:_ _ _ ()urter: <br />ll',()ttK lilts' c0i\ I PtiNs,\'l'l0N <br />tuicl,Alt^'t'l0N <br />I hcrcby al'll'rrr untlcr ;rcrrulty ol';^-r jury onc ol'lltc lirlkrs'irrg rlce llrirlions: <br />l.:rlxrr Cirrlc. lirr lltc pcrlirrrrurrrt't'ol'llrt: s,ork lor s,lrit'lr llrt'pt'rrrril is issrrcrl <br />Policv Nurrthcr:l.rpitt's <br />St:clion J()7(r ol lltc l.irlxlt (ixlc. inlcrc\l rrtrrl irllortn'v's li:t:s. <br />l)ulc:Appliuurl: <br />LlcliNsliD coN'l'RAC'l'( rR <br />Dlicl,AltA'l'l( rN <br />ol' lhc Ilusirrcss rutrl PrrrlL'ssiorrs Corlc. urxl rrry licc:rrsc is irr lirll lircc lmlcl'll'el, <br />Liccttsc <br />Dale:- <br />.iccrrst' Nttrrrlrr: <br />('ottl rrrcllrr. <br />coNsl RUC t'l0N t,t,:NlllN(; A(;t,:Ncl' <br />isstrc(l (Scc. .l(rr7. ('iv. C. L <br />l.cil(lcr'\ Niltrr' <br />I t'ttrlt't '1 ,\111ls 1'..s <br />ArILUANI.DIiCLIBAfl.IN <br />I lfn{ry rlliflrr rrrlcr ;rtrf,lty of pcrj(ry orrc of thc lirllosing rl('clnhri(nrs: <br />Dctrx,liliur Pcrtrrils-Asltslos Nolilicnli(il Fc(lcml RcSuliltirilr{ ( l itlc .lO. Irilrt(rt <br />-Rcquircd <br />lJllcr of N(,liliculk[ <br />-l <br />ccnify lhnl thc lbrlcrrl rcgrlrliuts rugn(liilB [shcskrs rNrxrvfll ilrc nol {lipli(lrhh kr lhi\ Ir(ircl. <br />ulxrvc trEDliurcd propcrty lix irspcclir[ lrullxrscs. <br />trrl0:Appllcrtrt or Alenl Slgmture: trrlc: <br />Pendlstretrre(pritrl,: <br />- <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underf loor <br />Buildinq Sewer <br />ArealStorm Drain <br />I nterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />Itlain Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool Heaterlcas Line <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />€Alftary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release ,I ,l O- <br />FINAL lt xLt 1{Dtg r7 <br />TNotes, Remarks, Etc.I