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APPROVALS DATE rD/stG.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 />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P{raplDrain Line
<br />Main Drain/Pool Piping
<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 />Meter Release t ICD
<br />FINAL
<br />Notes, Remarks, Etc.
<br />OWNER EUlr,r'EA DTT.CARATION
<br />I lElty .1ft8 o,r& Fdy ot F!,y 0a I o q69l 6@ ltc C.dll(r' tj.@ ta 6r rlE hlbwit l&n (sc.mll.5
<br />AuiE rn PtD&-b! Cod.): Arr Ciy d Cddy wntn E+is t Fbr to odn4 .l., iryov.. d@li$ o, rW -y
<br />slEtdr. Fio. ro ir istftq .ho cqi! fi. +Pli..d tu. *lt pcbr !o il . .iiid ricE U. lE d iE ir li.Er..d Frur
<br />!o rh. Foviriou oa !E CorrrBror.t Li.6!.d Lrv (Cbpr6 9. Co,M4ii3 wirh Sdn i 7000 6f Divnhn I of th. &!in..r id
<br />irsnn i'Nco&)drhrllE(iLad6i6 rtE.ild nd tlt t i tur$..lhcdacistk[. Ar, liolrb. ofscdb! r031 5 byey
<br />eli.rr tr. FEit $lr<lr rtE @li.r,r !o..ivil Frlyof 6r rrrh- 6E luid &lLr (1500).
<br />_1. . os@ of fic Fopdry. or ny 6plor6 wih *.86 6 d.n mL 66FBdioll. ein do 0E N .d !E d.rxiw a ml
<br />i'rq!.ld d otu ftr sL (Sc 7o4a, turiE od ftDr{bd Code TIE Con'..rolr liqE tn &€,Er Tply ro D o*E of
<br />rlEFrFty *no bUL d iqlE lt.o! .d *tb &E rdr eL li!*lf d ld-lt d th$sn hb 6 hd 06.e5r,rr..
<br />Flvildtlha rrdr rryDvsrd i d ird dofiEld 6. -1. lt lEw,0E hddns d iqwscr i -ld wifn n )a
<br />otamplrb!. dE Orc &d& wil llE dE brdar otFlvilr tr lE c tlE dd ,El huild 6 inp.lE l[! FrFty for 0r F4o* or
<br />l. - *E ol E Flprty. o dcllilt cotr .riit wih li<E d .od66 ro ffi tlE F!r.( (Sc. 7044, Src
<br />&d EDkin Co&: Tnc Conr-rd ! Lk.* L.w &d er +pl, lo e onG of ,rDFry *ho hlald! or imFo€ d!a6rl.nd who corr crr tu ru.h Fqerr wnfi . Codrero(r) ltdlr.d prtu ,r ro llE Coitr*roar Uc@ L.e)
<br />I o .rdF urtd SEli,.
<br />D.l.: OrYn.:
<br />worxERs cdMrEN-s itoN
<br />T&CIjAAIIO!
<br />I hd$y rm mk Frryof Firyw ottlE ft,lbqur dclr.lioE
<br />-lh.v.Edwill
<br />inr.h. CErifrl.olcoMl ro S.lf-ln!@ for tr 6 @nFsniot!' s Fvi{kd for b,S6ihi 1700 ofrhc
<br />r,tor Codc. f- tlE Ffoltlr. oftlE wl rn *nin lh. Fnil ir iEucd.
<br />flC a *,tt*,n - *.*6 @f,FdM iE|]fua s '!q!,rd by scrih !?ooolrlE Ler cod.. fo. orE p66dtft. of_''i srr for vhih lhi! Fnn it isu.d My *0116 @mp!$rion iEud. kd !n poky tunbd e
<br />) ^-^ dHiliriid\; e; ;ru}. " ry
<br />"
<br />L*,*n?&{2b/do ,.*, E/aH
<br />-
<br />t car'ry $n d th. Fftltu. orrh. *rt ftr rnrh lhir Fnn " * , -, -, o*t(-y pdbn d &, .ffi
<br />e .lo b@G ili$ lo rhc 6ta 6qa..nn Lq of c.lif.oi lxl irE Ui if I !6od<l !6'E rt er to tL
<br />wri6 6rqdrio6 Flviim of Scrbn 1700 of llE t bo. Co& I ildl ft.rtwnn orpl} snn ibt FDvi.iB..
<br />$bi.tl , daLF b oiDid Ftlb -.1.iril fr6 ', t oE h6d rhoE-d &lL! (ll00.000). i'r ior d.E t6 - ,rovit.d for lh.
<br />,16!n ad itdEy! aq.
<br />o
<br />I haltr .frin s,!& Funy ot Fjay $r I e licqld sldd Fowb. olctqr( c (@ffirrts *iO scdbn 7000) or Divbion I
<br />or llE ButiE .d PEfGioE C.d.- rn iy lttr i hftll foErd.frEt
<br />**r,^, b
<br />^- ly'q/ao a47o7r
<br />.*,*-,cok bvt*rl, ru c-.
<br />COUITa.UCIOXIT:XD.INGiIIiI]II(I
<br />, h(l,r.tfm und( p.Mlry ot nsjury riar rhsc G d con{ruclFn lcnj'nr ryfr! I{r rh. rEf()n@c. .l rh. trorL ior trnich rhr Fni i
<br />B!o.iis( :r{n7.( r\ c )
<br />AIILITNI.0ESASAIjq!
<br />I ha6y .ltm ui<td D.!dy of paiury oE or rlE follo*ini d..lrdhB:
<br />Ddi.tiriou Pmir#Arb.n.r N.,rifidrior l.d6.l R.suLlhN {Tnk.l!, P.n6)
<br />R.quiEd t.ld .l l*r'ftrm
<br />atrrtG r@ov.l ar .ol @pli(.hl. ki lhn pn El.
<br />i' drtr I rsri ro 6|ply wni dt Cny !n Couny
<br />dlbriz EFadriE ol lhir Cily trd Couly lo drE 'fon tl..
<br />ahov. @nio..d pFpoit
<br />rdraom(pdir), f,tet?
<br />////p
<br />1 1il219,i,
<br />PLUMBING-INSPECTOR RECORD
<br />TOP OUT
<br />Final Gas Test
<br />1
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