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PLUMBING.INSPECTOR RECORD
<br />COMMENTSDATEID/SIG.APPROVALS
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />\t\uufl,flilw)lWaste & Vent r\\q\',)ru n^th0r\Water Piping
<br />Gas Piping
<br />Roof Drain iTub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P{rap/Drain 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 />Final Gas Test
<br />I^l llrMeter Release
<br />FINAL
<br />lJ\l',NtiR BtrtLl)l:ll Dlll,(,\R,\ l'
<br />I hdcby amrn udet tcr0lly ol !6iury lh0r I ton .r. !l 6o'n rh. ('onlracl(n l-icce I a\r for lh' follo\ ing r6$n (se 701 1 5
<br />Brsines a Pma6siofl (ndc): Any Cily or (-ounlv shic! r.qtn.s n ,@ ir to consnxcl ah6 ilnpA' ddolkh or rcpin anJ
<br />studuE. r,iar ro ils issu.nc.. .ho re{nn6 rhc 0p icafl for n(n renri r' nk a sisn'd sdmd rlri lE or sh' is li'em'd ,)U $mnr
<br />ro rh. F;isions of te co racrois l-icensed t-n\r {(h$lcr 9. (innnrcncing \irl sdioi ?000 otDnision 1 'l rh' lnlsindr and
<br />P.oiesn.ircod.)olrl hcorshcisclefrfl lhgcliofi and lh.b6is lor lh. .llc8.{ clanprion
<br />^ny\iolalionofs.{ion,70:11'lry.n)onphcam aor a psnri iubjsrs lhc amlicanr ro acnilpcnan!ofnol oorethan fi\' nundEd dolles{!500)
<br />!.0s o\ner ofrlrc !.op.a!. ornly€,nplo)es \ilh $a!6 ai rlrt elc c''nfosalion nilldo llE \$I in<l rhc sMm k en
<br />i*trJ * ,,n"*a r"i .r" ri*.?(;a B;si;6s aid Pru r*siois ( odc 1 te co.ta'tors t'icen* l-a$ do6 nor
<br />'pplr-
<br />u
<br />'n 'lvnd or
<br />rrrcrrktEry "'rro Urit* o, i,rprol6ln@n. !r1\!ho &6 srh \oii hinsellor h.glior thmtBh hic 'r h* o\n 'mPlols'
<br />-.i,ail ,i " ",.r, nnoo\ 6trmb d. mr 'nrsd.d o. .rc.J for $lc lt hoN6 s' lh' bildin! or i'nprordtror ii $id \ ilhi' on' vd
<br />I'r..-i,i".". ir,.,r,,"1, rr.,'Lr"' snl hr\c,h€ b{nlm rr'^ins rhir h. or shc di.l nor brild or imlmr ' rhc pmpenv ior rhc Pu'ID* d'
<br />l- as osnd o I lht !ropd1r. mr dcl6( clv toolr a(1in! rviln lic.d'd conn a'k'u lo coNlrud lh' [(r]al ts( ro4r' 8r(in6r
<br />Md h!tusn, Co,lc, i h; c; 'i.roas l.icctrr.l-.Lr do6 ior.prb k'l ano{ d or ttrol.n v \ ho huilds or irworB rh(@n'
<br />.nd \rhd s.tmdst rsucfi proj<rssnh. Conkacb(s) li.{sql pon&l lorh'Grnta'-lois Licds' l a\v)'
<br />I an.r.nrpr und6 s<rion
<br />\!ORI€RS' COIIPENSAAION
<br />DE(:L1\fl,\TION
<br />I hcr€by .mm unds FMlll ofldjury .n. oalne follo\ i.8 dclaralt' :
<br />lh.\€rid\illmai.iniCdificslcolc.nsalloS.lf'|rulreloiNotk6composlion.spro\idcnrorbrSdlionrT00oftht
<br />llhor Cod€. lor rh. Do lomai.c oflh. $ork lor $hicn rI€ p.rnn ie isu€d
<br />NI
<br />-r!rS Cr.-sr:s<\$eS \
<br />\$S D-SoS \4t LL]I o :la
<br />Iccnil!rli.r inth.pstn nr.cc oflhc\ror[ l \hi(hrinpdDir is nnrcd. ! shillnorenlpkD ant,6( in'nvnrnDns
<br />n' s r,. l*{dn( n,hjd; h rhe ".r[s3 .otrrp.Dsir kin lx(sof( alinnnia..n(l qr'{rlmt illsrklrld Lt{o'nc $'6jecl lorh{ '
<br />\orkdl ..rnr.D\xii.nt'.vtn'ds.fsc.rionl7o0otrhcIlhr(i ..1drll. tunhsiihc''nflt \ilh rllxcUo\isnnLs
<br />$ARNINCT faihrc lo sr. Notkes comPcardt'n co\cm8c
<br />.nil fin6 up lo onc nuodrcd lholiMd dollaF {$100J00). in
<br />h ul rtur. sd !n.ll $bid an dplotq to ainintl ldlri6 and
<br />ion lo rhc .on ofconrFns.lion. dtun,g$
<br />scr 1n, it 16,,lrhc Ixlu (,i(. i'n.'N (t hnc\'\
<br />I hdeby aftm undo ,6ahy oi F.UID lhal I .,n li
<br />DU( l,,lll,\t ()l
<br />,, lrir.\ '\i,,n
<br />rl( l,rnrd q l.fnnn. .i,tL trill' srdidi 1llr0) ol Dnlsnr I
<br />ot rhc BuitB od PmleioB Cod.. dd nr li..M ie in tull for. md eft 'l
<br />t€l u18,LtL
<br />I hdby arm udd Fnahy ol pdjuty thsl lh6. i5 ! coNltulb. kndi.s aga.v tor lh' Ffomue o fnr \orl (r \rhich lhis p.init is
<br />isn'd (S{ 10I,7. Cn ('.1
<br />AIII.ITANIDI(.IA8{UAN
<br />I ho!6r.tlinn und{ p.n0lry otndjuy onc oflhe lo,lo$inr d(lar.lions:
<br />Dcn kiDn Ps' s Asb6los Noliicrtion F.d6rl R.gultrlions(titl.40. fan6)
<br />. Rquncd llllnof NolifEarion
<br />-l
<br />cdliry rhal lhc Ldol E*rl.lbN eS6dins 6t!6los moval e nol
<br />I c€ni ty tha I hs!. tad lhb tpplic.l io.6rc rlhr rh. atnvc nrfomarion i3 cotc.l I tg@ to complv silh 6ll Cnv and Counrt
<br />&d sEr. taws,claring lo blild nyand Coumtl. c d upon rne
<br />ab.!. lElion.d pop€ny fot
<br />\ rli.trnt.' r,rdr SiAnnl 'q'--2{)
<br />E-tes Remarks, Etc
<br />UNDER GROUND
<br />b;6
<br />!6Hblylo
<br />A
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