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PLUMBING.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS O$NER AUILDI'R DEI-CAlrA'I'ION
<br />! hcrchy xlfinn u d.r NMlry of lijrju.y rhll I u:ctcD|n rn' rhc conlrnckn l-i.ci* Lrw for rhc,ollo$irg rca{r (5r.7(r.115
<br />au\irics\ iRl ltol'c$ion C{ilcr A.y ciry or coutrly shich r.quncl i fnnn ro cotrsrrucr- olrcr' imPdd. dc mlish or EFft rn,
<br />{ndurc. prtu ro ir\ n\urn... rho rcqunc\ thc ryPlic!.r lor luch F nil ro lilc n siSidd iarLmtrr rhd ltr ot xhc is licM\.d Nr{ris
<br />k, rh. F,visnnN ol rlr Co.lr(ld'\ l-i.ctr{d lrw (Choflcr 9. Connn.n.i E *irh Scclior ?(Xl{) ol DivBion .l of rhc llurinc\r and
<br />Pnnasion!C{'dc) orrlDr tu or\hc is cxcryr rhctctomund rhcbr\ir tor rhc rllc8uri crcnfln,n A yvioltrtion.fSccrirnT0ll5byitrt
<br />xrplicrnr Io' a pci,rn suhjcchlhc lpplicn b acivilrcnnhr_olNI nnnc rh{tr lilr huniladdoll.r lsslx))
<br />-1.
<br />us o$rrr ofrfi. pmtl.ny. (tr Dy.mnloycc\ (irh lvr!.\ n( !h.n sob comlEnsarion. $illdo rl* $otk ind rnc dturnrc tr mr
<br />iinridrd or oficr cd irtr s!1. ( Sc{ ?(!.1, Burin.ss nnd Pftlcsrions Cftlc 'I'hc c. krc(r\ l-ien{ lj* doc\ ior trntlv lo xn o{ tur of
<br />dr rNp.ny *l. Itrrikh.r i'lll)(,vcs rncB'n. u Fno de\ \eh q orl h iNclf or h.6cll or rhmuSh hir or hcr o*n cryl.rc.s,
<br />,n,!nkd ihrr strch i'nl('vcnEnF orc n i'rrcmkrd or ollircd ntr $l. ll lxrsvcr. lhc hdiktilS or ililpm$.Enl is 5n $nhnr orc )qr
<br />olconDlcrir.. rhc (hmr aui LY sill hnvc tlE tndcn ol rmvin! rl rh:o'nrlil rk, htill ot i.,{'rovc rh. ntuldv fitr lltr luqre oi
<br />I
<br />0r-/, *,* "*,, '* * *"r. J'n rr.ru\rrly.an,,.'cr ,! wnhli.cnccd corkr.rors to con{n'cr rh. F'jco (se 7Lr14. Busin.\\
<br />-.n lt,ltsDnC",lc lheCunrtucroi( I-trcn.c l-ix dnc\ n.rrppl!t' dotrncrollniip.nysh. huildsor imlrolcr rh$con
<br />,id sh. (nrrocrs lnr \uch lroF.r\ sirh a Co ncb(n li.cnscd IUAur i ro rhc Co.raclr's l-ic.n{ bw).
<br />,,,,. - t /{rrl
<br />I lrcrchr :llnn utrdcr pc rhyol t'cljury onc oI rhe nnk,sinc dftlnrnr
<br />I hrvc d w ill rui lo i Gd iri.ar. ol Cotrrctrl l{, scll lnsurc n,r u.rk.N .omncnsr, ioh- d ln,lidcd i,r bv S$!n'n .17(x) ol rrn'
<br />Utxtr (hdc.lor rhc l)erfon.!rcc.lrh. w.lk lor *hich rhr Fnnil i\ n\!c'l
<br />Ihv..trdwillmrinhh*ukcrr'.onf.n\ari.trirr.utrtrcc.rLrcqni'edhySucrn,nlT00olrhcl-rhorCixlc.ln hcJ,ctlotmlnccol
<br />rhc {o'l f.r whi.hrhis nefl.ir is i\{cd Myworkcrj omptNdirr irr\n rnn.x .nrict d Fnicynnnrh$ r.l
<br />er{...ify rhll in rhc p((ortufr. oflh. *ork ao. which tht li.rnir h issucd.l shall rel crPl'ynn! r.ison in !n, tunnct
<br />$irr,h(.onr\!hl.crrorhctrorkcr(..nrpcn\rri(n'Lxtr\ofCxlrl;irrii.trnnxgr.rl rill!h{,ltt.otrtr\trhjc.rhrlt
<br />{ulc^ o r iurDn I'r,ri\iotr\ olS\.'ri(,n 170rol rhc ljlitr Crtrl..I d ll.lrdhNnh.otDlv $ilhrh.\c |'ovisior\
<br />cilil 6fts trp lo orc hundr.n lhnlsnd d.llds (SIIDJD0I. in irion b rhL.ost ofcodFtrsrion, dr@g.. !s polidcd for rhc
<br />;:J"riFlJm:nror""",E
<br />oi rhc llu\incs rtrd PRnas(i,{N Co(lc. r n,y lic.n\o n i', tulll'r( r&lclfc.r
<br />L.ndcr'\ Add'c$
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<br />A.PJXIIANLIECIABAITAN
<br />I hrr{y rmtr und.r F.ally ofFrju,y o*.1rhr r.ll,,wing d.cr0..lio.s:
<br />I)crtulirion P.rnn+AstEsk,s Norificalion FcdcrnlR.Srl,ri(,ns (Tillc,10- tfln6)
<br />Rcquncd Lcllcr ol Norifi corion
<br />-l
<br />ccniay rh thc tcdcrul rcSulnrions E-qltding asl*stN rc!revol !r. not arPliclhlc b ihis lmill
<br />Q.#:ili rl'd I hrvcr.nd rhirrpnlicari{,nlft|{rrr h. obow infondrion ir..md I d8G lo odply wirn atl Cny 8nd Counly
<br />s and s{ar. rriws rcl(ins to boildinS .ons nl hcrcby lllnorir rcFc$nldi*{ of thh Cil y d{l Cotr
<br />ltx'vc ftnri'ncd pmp.dy fot in\Fcrioi pnrlbscs.
<br />1Applicsnt or Aaot skn,lure:
<br />t,"-,U"" "".",0n", X ilI ZU
<br />UNDER GROUND
<br />Waste & Vent
<br />Gas-Underfloor
<br />Buildino Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Rool Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/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 Devrce
<br />Rouqh Plumbinq )-10 22zo tlx- z1
<br />Final Gas Test
<br />Meter Release
<br />>lo-aD P-*sr,'Qr@\ At)
<br />Notes, Remarks, Etc
<br />-+
<br />APPROVALS
<br />Water-Under f loor
<br />FINAL
<br />,r**.F
<br />coNs'rtall(:r'l()N I r.NDIN(; aerN(lv
<br />I ncruhy rmnxd.r pcnrlryofperjrrr rhr rhcc is, orrructi.n lcnJinr r!.k, n" rhc |Erfo aiccofrhcsor*ntr*hicnrhisFnriri\
<br />tsncd rSec 1097. Civ. C.r
<br />GrJr,\ \rn.
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