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PLUM BING.INSPECTOR RECORD <br />APPROVALS DATE !D/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underf loor l0-8.-D 0-c Z n <br />Buildinq Sewer <br />ArealStorm Drain <br />I nterceptor/ CIarif ier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />N/ain Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool HeaterlGas Line <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary SewerlCao <br />Back Flow Device <br />Rouqh Plumbinq <br />Final Gas Test <br />Meter Release <br />FINAL /1.-l?,n b0l Nflrg ryT <br />Notes, Remarks, Etc.j^ <br />'0o* r..t rzr-.' h""-ur7t') h,bh ,(-lt- <rLbt ^/ fr-c'fl <br />/o+D-D <br />!b- <br />(Nl'Nt,:R lttril,t[.:R I[,:t,( ARA il(rN <br />npplicnntlirrnpcrtrritsnhjcctsllrc ilpplicilntk,il(ililpcnillt),(,lnolnxtcllHilirchurxlr(lrh'llir\ls5lxll. <br />sitlc ). <br />lrtrl s'lto conlt'ucls lor strch;rrrrjccls s'itlr:r (irrrlllrt'lorlslliccrrscrl put\uirrl lo lltt'(irnlrrtt'lot's l.it'cttst' I ;rrr l. <br />-latttcxcltl|,lutttlcrScclirrn-.l}.&I).(..lirrlhisrcttsrltt.Dnle: Owrter: <br />lvottKlills' coM PltNsA't'l()N <br />t licl.^RA'l'loN <br />I lrcrcby ulljnrr urrtlcr pcnllty ol';rrjury onc ol'lhc lirlkrwirrg tlccllrlliotts: <br />l.:rlxrr'(ixlc. lor llrc;x'rlirrrrurrrt'c ol'llrr'u'ork lirr slrir'lr tlrt'gx'rrrtit is issttt'tl <br />Curricr: <br />Itrlicy l:xpirt's <br />so ils lo hccorrrc suhjcct lo lhc workcrs'corrr;tcrrsnliorr llws ol't':rlilirrrrin. nrxl :rgrcc llt:rl il'l slxrrrkl lrt'rttttt' sttlr.itt lrt llt' <br />Sccliort .1O7(r ol'lhc l.:rlxrr (ixlt:. irtlcrcsl :rtttl llkrt ttt'\''s lt't:s <br />l)nle: A;r;llicurrl: <br />l.l c liNsl,.l ) c( )N'l'l{,t ("1'( ) ll <br />l)li('l.ARA'l'l()N <br />ol' thc Ilttsincss:uttl llnrll'ssions ('otlc. urtrl rtty liccnrc is irr lirll lotec;tttlt'lli'cl. <br />I.it't'rtsr' ('l:rss I it,'nrt' Ntttttl,t t <br />l)ule:('oltl ruclor: <br />W <br />issuc(l {Scc. l{I}7. Civ. ('.1. <br />I .ctttlcr's Atklrt:ss: <br />afJ:LlcANllrlicltlltallaN <br />I hcrchy rllirnr untlcr ;rnnlly ol prjrry onc rrl llE li,llowirS (lcclilrill ir{!s: <br />l)ctrxrlili,n Pcrtrrilr-Ash(slos NoliliLtlhnr lfc(l!'rill Rcfrlilli(nrs ('l ilk'.1{). I'ilrl(rl <br />_Rcquircd lxlls (,f Notiticaliul <br />-l <br />ccflily lhill lhc lc(lcml rcgulilli(ilrs rcglnliilg ilsh:slrrr rctrxrrnlflN ilol illt|li( ilhlc lo lhi{ Irlri'(l. <br />uhrvc nutirrrctl prrrrtdy for inslEcliril Purlx,scs. <br />l)ntr:ApDll(otrl or Agot SlIBlum: <br />l'ertrtilt,e rrunrc ( prirtl ):