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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNM EUILDEN DELCARATION
<br />I hftby alrrm undo Dculty of priu.y rha I m .x.mpr from rhe Co' mroB Ltcn* kw for lh. following EeI| (Sc. ?03 1.5
<br />Bushcss .rd ftofc$io, Cod.): Aoy CiIy o. C@nry rhth cIUiEs ! p.mn to on$rucr. otto. ifipoe, &mllsh or ri{t.sy..
<br />rElde. ritr ro ils nsu!m.. 3l$ rqliEs rlE ,pplicet tor sEh !.mi lo fik a iigtEd ltatcm ln.r lE or lhc i! lic.sd poNot
<br />t , lh. rrovlsb8 of tlE Conhcroar Liensn kw (Cn!Dr.r 9. Conmrins *nh S..thn 7000 of Dirisio, 3 of rlE Busin.ss lnd
<br />Pmtc$hos Co<h) or lhll h. or shc b .rcnpl IhGnDE .rd 0E ba.is for UE .lbec.t .&npdon. Ary virldion of Sclri,n 7ol I t hi dy
<br />q{,licd lo Fmi iubiEr3 rlE rlloljo ro icivil peNlyofmr mernsn 6vc nundr.d dollss (1500).
<br />-1.erowFoallE!.otErty.oroy.mpby8s*ilhwl3csaslhcn$bconp.Nlio..wiudollFw.,ndEtulEh,rrinl.(H o, oflcrcd ror sh (Se,7044. Burims od Pm,crsioE Cod.: TIE Co n ioi, Lic.(* L{* d..s tur lpply ro si o*ffi of
<br />lhc p,orEny aho hliH. or ntproE tlsotr !d wlE &E *h ft* hitu.lf o, hcelf 6 threugh his o.lEr oM enployces.
<br />!.ovid.d rh.r rkh hFnlm.k N mt hrai.d d oftcd fs slc. l( how, tlt tiildin8 or itrp,oEmnr ir $ld wi6in om )erof.on bri,i. rlr O**r AliEcr wil, l'!r dE hod.r ofprcving U6r lE q nE dil ml bqik or ini,rcE h. FDFny fo. dE lElp.s ot
<br />_1. !row*rof rhc Im!,cny, amcrclusirlyco n rinS wnh li.cn*d .o.n dos ro mnidc[lr pmj$r (se. 7044, ausms
<br />and h!,trasior Codc: thc C.nhdol s Li..nrc taw dcs mr aPl,ly ro d owncr of lhlcny sho boilds nr idthrr rh.rNn.nnd who ontmcrs for slct pmjcck *irh s Conhdo(r ltcn*d puN@r rolhc Co.r@ror's Liccnsc L,w).
<br />)t1
<br />uirl,r-ErlllQ!
<br />I hcrchy ur'airm unds Fn0htofp.luryok ofrh. followine deldraridnr:
<br />Lrhtr (i r. nrrhr Nnanunccolrhc sork ftn shich rlrt!flnir i\ i$uc(l
<br />_l hrk ond willminl.in vort tr con{En$lio. imurakc,4r ,qunld by SNrion:1700 ot'h. Ljbor C.dc. for rh. pcrrot@rc ol
<br />lh. work tor whth lhh ,Ermil is isto.d. My *ork6 mmp.nslion in mm cffiin .rt Flby numb.r m:
<br />-l
<br />€nily ltut in lh. Frformxc of th. wort lor whkh thas pomit ii irsxc( I shallnor arFlo, !n, Fmn in any lmB
<br />$ !s io b.om ruhixr ro rhc sort6 drdp.nsti)n laws oacdifonia aid a8rcc thlr if I sholE b(om subjcr ro th.
<br />soltds'onFnsridntoeiiionsolS.crio.lT0OofrhcLltffCode,lnEllfonhsirhomnlywirhrhl.polirion!.
<br />WARNING: FailuE to surc sorkcs' .onp.nslion 6w6e. ir unhwtul. lnd sh!l! subj.rl .n .mplorr ro €iminll FMlliu ald
<br />cilil fin.s up ro ore hundrcd lhousnd dollds ($). i! addnaon ro rlE.o{ ol comtFnqrion, d!'ugcs as pmvilcd for rh.
<br />Z +/+
<br />Urrlj$&la!
<br />I hcrcl,, lltflnhdcr pcnllryolFrjury rhar I am li.cn$d utrdcr pmvhionofChaplcr 9(commncirs wilh Sccln,n 7O0O) olDivi\ion l
<br />ol lhc Busirc$ond Pro tussn,ns CoJc. ntrd myliccnsc h in ruu ror.. rn.fi..r.
<br />Dale: Con(
<br />IOIIIAIqIIONIENDINC.AIiINII
<br />I hcrcl,y alfiflnundcr Fn tyolrcrjurythlrrhwis0cotrsrucri'nlcndingrgcncyforrhcnr{onuncolthcworkfor{tichrhispcrmiris
<br />hsucd (Sc. .lO9?, Civ C.).
<br />AIELICINIIECIABAIIOii
<br />I lrrhy mnnrhdcr pctralry orprrjurt onc orrhc iollolving decla,arions:
<br />Dcnniio.l'cnnil\ A\taslos Noliricaln,n ledcnl RcEuhrn'ns (I irlc 10. Pin6)
<br />_R.quncd lrucrol NorilLlrir
<br />-l
<br />cdify rhd rh. fcn d Eglh o.s rcedi.8 .rbcsr* eevrl @ @r atplicdL
<br />'o
<br />inir pmid
<br />-l
<br />ccnily rhar I halc rsd rhis !U,,karka and stlre lh.r rhc abovc inlomrk,n is cotrccr I a8re ro eml,ly *nt all Cn, and Con.ry
<br />boildins consrdctior and hcrcby llrhornc rcprcscnbtivcs oftnir Cny lrd c{,uryro cn'c. u!.n rlr
<br />.l,ovc mnli.)md lroFdy ntr
<br />,\lplir n( or ,\xulSi,rn ltr v
<br />UNDER GROUND
<br />Waste & Vent
<br />WaterUnder Iloor
<br />Gas-Underlloor
<br />Buildinq Sewer
<br />lnterce ptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pi ping
<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 />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbinq
<br />Final Gas Test
<br />FINAL
<br />Notes, Flemarks, Etc.
<br />ID/SIG.
<br />-?7o nt4',2-*
<br />,rt'./,*'
<br />6dinafter and St.rc L.0s Elatirl
<br />7ru
<br />Area./Storm Drain
<br />Roof Drain
<br />Pool Heater/Gas Line
<br />Meter Release
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