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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS ()lvNER BIrILDUR DltL( r1ll]1',rlON <br />rt,0 icr tur a |Biinirnrl,r.r\ rh. itpli.n r,..trrl0ctrrh)., Nr nrrcrhxn lifr hu rcd drllxr\ ll5{ll)r <br />-1, <br />,r ownr of th. pr6Fny, rtr my c'ployr.s wilh str8cs 6 llEn $t ohpcnsdion, witt do rlr qo.I tnd lh. slidE is mr <br />ir c(h or oficr.d for sh tsa.7044, B!i.cc. .nd B.fc$ions Cod.: Thc CbntEctols Liccne L,s d'.es Nr 4nly ro owr.f <br />r rE li(,Fny wlE &ilds or il'{mhs tt Kn. ,id eho dc $cn w& himtlr o. hcrslf.r lhmu8i his or h$ owd cmploy.cs. <br />pmlided rhar rEh imprcwcnk @ mr i.Ed.dorofrdd for sb.lt howq. rfu t{ilding oi intllmr hsoldwnninon.,te <br />ofonplcdo.. rlE Owmr BuiEcr will nlt ltE bud.n of Fovins lnu hc ot $. dil d hild or inpmE dE pmpcly fm lhc I!,F* of <br />-l. <br />B oqmr orrh. r$Fny. rm.rclusirclt conlftlin8 qith li.ctrsd coilm.l.Blo $nsrud rhc Imjml (Se.7044. Busincs <br />lnd EllBshn Codc: ThcContacroi. Li.e.r. Lowdo6 mi.ptlyto rn orncr of pml'ca, who bllldr or innovcs rh.rcon. <br />nnd who .onrr.ck ror such p'oFts *ith a C,nrEro(9 liensd pus@t io rhc Co.adtr r Lten* L,w). <br />I rm.xcnDt undcr Sccr 8. & PC. nrlhir r.!nn. <br />uoarEEgltqr4PiNsarloN <br />DESI,AEAIIQN <br />I h.Bby llfrn und.r Fn.hy of t dj!ry orc of tl.l rollovi.3 dcclrdioBl <br />-lnnvc <br />d * ill mrinrlil r (tn i,icrrc ol Coi\d r n) scll ln{rr ntr *.rkc^ conrFoslrion. r( Inrvidsl ir hr scd nm ]Tm of rhc <br />Irllr cod.. tu rtu pcrfonnin c ollhc work ntr *nich lhc pcrnil i\ isrcd <br />J -c" <br />,kcR c.mFNnrion inrur.nc., ss ElliEd hy Sation 1700 oalhc Labot Cod.. ror rh. FrroljM.. of <br />ic i\"xd. My workds coq,creti.n inrurore otrtr ltn F,lky numh.r 4i <br />nl U 5t) <br />/nrorr,Anq r,85'3 S lto /to <br />-l <br />ccnify tnut itr rhc Frlortune offic worl for whi.h rtir p.rmir is irsldl, I shallnol c.rrloy o.r rccon in any inanNr <br />$ d ro b.se sub.ier ro lhc sr!.6s compcnsstion la*s oacolilDmiu. aid isrcc rhtr ir I should n\om subiel lo tlE <br />wrlk6' .on{x.skn pmvirioni ol Scdion 1700 of rfic Litn Codc. I dDll. fonhwirh .onply wnn <br />'ho* <br />pmvniotrr.. <br />WARNINC: FailuE ro suc workm @nqEnerion 6wn8e ir unlNtul. md s ubr.l M cnpt,yr ro sinrinll pcnrltis.d <br />cilil nncl ut, ro onc huidGl rhousrnd dolluq (Slm.u[). i. lddilion to the nFra,rn,n. datr8cs .s providcd lor lhc <br />S..ri{r.ll176ol rl[ltrlrtr ('(xlc. irfcrc{rtrilnrlortr.y'\,"D.8 <br />/n,", " /o? I L\ <br />t2r!I^.8{tu: <br />Ihcrcby alfirmundcrI.nally fncrjr'trhrrI0 lic.i{d und.r lrovi!n ofChrtr*I(.onnNn.ing{irhSt.rion7(XX)rnfOivi.ionl <br />ol rhc Bu\nrss .d Ptulc$n)nsCodc, ud nry ]i..tr\. i\ iD n'llrnrc dcllrcr <br />ill32_o,|Y,L\b <br />Kt"r. <br />!.:aliEItrUlIllNIfNDlNrr.QIN$ <br />l\nki lsc. r0ir7. ( ir C I <br />AITLICANLDf,SABTIIO! <br />I ho$yrmnnrndcr n nrlry.rp.rjuryotrcolrhclr'llorinS dcchnrions: <br />Dcnmlirion Pennirs Ashcnos NoiilicrrbhFcd*rl Rceuh!nrN(Iirlc40. PM6) <br />_llcquiRl t.c(cr of Norifi .ri.n <br />I c.diry lhdt fic Ldcm!rc8ulations rcludin8 osbc$s rcnx'vnlnrc n.r trnrl]."blc h rhh PmjGr <br />lDl ccairy rhal l havc rcad rhir rpplicar b. d sarc rhd iniornulion hcmr. I trEe roomtly*irh.ll ciry.nd Counry <br />ordirrDccs rnd Srurc tiss Eldring t, huildinl.onnru.rion rulhol'!relrcEntarivcsollhiFCirynndcou yro.ntdutDnrlf <br />V *,", ot I oS ltO <br />UNDER GROUND <br />Waste & Vent <br />Water-Under lloor <br />Gas-Underfloor <br />Buildino Sewer <br />Area,/Storm Drain <br />lnterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Piping <br />Rool Drain <br />Tub/Shower Test <br />Rouqh Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipino <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 />Final Gas Test <br />Meter Release / <br />FINAL ///4/r',/)/1/M- <br />Notes Remarks Etc.t/ <br />,x <br />'-llgZl-zo *".*. ABK PLunTbiY