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PLUMBING.INSPECTOR RECORD
<br />APPROVALS tD/stG.COMMENTS ()wNItR Ut ILDIaR Dl:l-(-/1R/1 ll()N
<br />I hcrcbt rllirn undcr p.nrlry ('r pcrjury rhrr LN cx. rfr lnJm rhc Coftr.t6 l,Ecn{ U* ix rhc lnlkrqing rc0str 1scc.1r-11 5
<br />Itnsincss lnd Pr.fc$nrn C(nl.): Any ciry oi counrJ- $h'.h rcquirc\ a ncnnir k' .on{tucr. !ho, nnF,vc. dcmlGh .{ ,cn!n Jny
<br />(nr.trtrc. pri, h n\ i\{trtr.c. nl\) r.quncrrhc ll]plic.trl lbr{.h lEnnir k, fik r (i!i.tl {dcnktrr rhnt hcot shc i( li.rn{d p!^ rnr
<br />ro rhc Imvnbnr ol rhc Conhcttr s Li(tr\cd tiw rchru& 9. Cormrcrki.g *irh Sc.rion TIXX) ol Dilision .l ofric lrlsincs! lnd
<br />Pflrfrsion\Cod.rorrhrt hc or rrE is crcnq llH.liorond rhc hr\i\ in rl[ rllttcddc l|nii AntviolnrionofsGrn,hT0ll5hyrny
<br />tr,'pli$d t)rrp.nnir suhjrcisr,r ippli.dd h rcrviltrMkr" fnot nrncrhln fir. hLndrcddolh'\ 155(nr.
<br />ldsosncroirhcI,ro|Ent..rnlyrnrpl|y.c\$irhsr!$nsrh.irk)lc(.nFtr\nrnnr.*i[n,iilssolklxlrh.ennurei{rki
<br />inrMdcdoroii'cdlorsrlc(S(?(!-l.Busi,rc\srnrlPnncsi,nr\C.dc1hc(inrr.nn\lir.n\cl.i\d.csn.r0Dnlyroanorm!ol
<br />rh.DniFny shohuild\orilll|r,trc\Ilu.rnlaii*no (f\{'.htoldhim(lror[e'\cllorrhurShhisorhcro*.cnDbycc\.
<br />Lnsoqncrolrhc|no!cn].rDcx.l$irclyconrNli'r!sirhli.cn\cJco rn.ror(r..'trr{rr.l rft nr.rccr (Scc 704r. Bu$tu\\
<br />rh, PnnisbnCodc: lhc Conlrrcttr s l-i.cn\c I-r*do.\ n.r rt)flynr irowNrol Propcny\rho hrild\or inrpturcs rhcrcotr.
<br />in(l $h. cotrtacrstursrchttroFr_i\\irh C.nxrctnr\)liccn\cilunurnrrorhcG ra.ntr\t-i.c scIrLr).
<br />I dmcx.nDr $d.r S(riofl-, B. & P.C for rhir ENon
<br />Drl.: ()Bn.r
<br />.uaBf,E8S.:C0M3[NSAIA!
<br />DEILIBAIIO!
<br />I hneb, nflirm u er pcnalry ol pcrjury orc ol rlE tnllowing del-oliofls:
<br />-l
<br />hlrc and *illroiflain, ccdituarc.f con*nr h sclHnrurc for *oiksi comp!trrrn,n. ar fmvrd.d fot nySrcrion l71ro.rrhc
<br />hhor Codc, for rhc pqfomunc. ol rh. w.rt ror uhi.h rh. Ixmtl h nsu.d.
<br />.<, n.," n*,u,.oinoln *ortcF conucns0lion inslmmc. !s rcquied bySc.rkr.l7u) ol rhc hhor codc, ror lh.lcrtomo.cor
<br />rhc ulr{lor uhf,h rhh Fnnr r. nsRl. M)/onrts- ."mFrsar'f,r rn.u,J*. c,nu rrl rnlEy nunrrq m
<br />q'LLS qq
<br />-l
<br />ccnify rhar in rhc p€rlomftc df rhc w.rl lor *hich lhh lx.mn is ksucd. I shall nor cq,loy lny pcr$, in an, 'Mmrv, N lo ltcom slbilr ro rh. Mtrkcs conwnslion hws of Califomi!. lnd lsN lhd il I rbuld beom $biEl lo llt
<br />$6rkc omp.ns,rion fhvkionr of Selion l?(r) ol lhc Llbor C.dc. I sh l. aonh{irh omply sirh lios tmvlsions.
<br />WARNING: Failurc ro sorc srk m sn{Fnsrhn 6rmgc is uflhwtul. and shall {bitl .. c,nptoyt, ro .i-inol p"otri"'"na
<br />.ivil finc, !p ro od h.ndEd rlhusnd dollc (ll00,OO0). in addnioi !o lhc cosl nl cooFreriol! dlm8s s ,mviicd for llE
<br />Sc\r(,i rlri6 rl lhc l-rlii (!trn. r .!11rtr,lxr
<br />I hcrhyrlltnru crnctrrl(yott^-rpryrh r I rllccn\.dtridcr ofChurq 9lco.rftdim Nnh Seti.n 1000) olDivhion l
<br />ol rh. lnxi'a.\r rftl Ir o,'c$i{nN ('(nlc. r'xln,v li.cnsr i\ i'i hilllnR.irtcllcd.
<br />ro?3 q Sa)
<br />(I(TNSTRUCTIoN LE'iDIT(i AGIiNCY
<br />I hcnhy rinn und.r JE rhyofprrjurr rh.r thcrc is r consrflcti,n lcndi',E xsc'ry tur ih. |xrn)tnuNc ol rhc sork tor shich rhn If, nir i\
<br />isucnlscc .]m7- Cie C )
<br />AIITICANLIIECI,IM.IIO!
<br />I hftr,ymrnundn pcn0hyof Frjnryonc oalhc ldlowins dcclnmtions:
<br />Dcrolirhn Pcnnirs Arb.{os Norin dri.tr lcdcrul RrSuluriotrs (Tnb40, P!n6)
<br />-Rcquired
<br />t{rlcrof No flcnlion
<br />-!
<br />ccnilirh lhc fcdcnl rcsllarionr E8ltdans R\hcioi E,mv,l arc nor QFliclilc l. lhh lmj.tl.
<br />&cn'fy rhr I huh rcld rhr annlr.". .rd {rrc rhat th. 0bovc informlion is cotr.cr. I igN ro omply wirh all Citr rnd Counly
<br />'oilimncc. onJ Shrc L!w. EbrinE ro huiu'.e c"n{tu.rnn,,nd h.rcby aulh.rizc EFe*.ralircs otrhisCn} dd Countyro cnrs upon dr
<br />nh'vc mntion d,m!€ny fnr
<br />UNDER GROUND
<br />Waste & Vent
<br />Gas-Underfloor
<br />Building Sewer
<br />Area./Storm Drain
<br />lnterceptor/ CIarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipino
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P-trap/Drain Line
<br />Main Draini 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 />RoughPlumbinS /hll ,-AD 2L (/z/ d7
<br />Final Gas Test
<br />Meter Release t.t l^
<br />FINAL 5//07-v ,{)ray(
<br />Rem tcNotes't/zl.Mo
<br />^
<br />li1 '////,nl lrlar/-thr DrI<6 F/trtra*€tl r/
<br />DATE
<br />Water-Under floor
<br />POOL/SPA rL-t'L4-t",
<br />,""' -l-}1 -
<br />Lcndclr Add,rs
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