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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER DUN,D!:R D!:I,CAR4TIONI hcrchy rlfinn rndcr lcnrh' r'i Nrjury rhd I m cxrnlpr ltum ih ConrachF L,iccnsc rr* tiI rh: r.tnrwinE rcavrn {SN.70I 5Bt\irc( r Ptur.sn,n Cqlcr Any Cny or clrunrt $hich !.qun.s n Fnnir b .on(rucr. rticr. nnrro\r. d.nnrh !r rlJn Jny
<br />sfl(urc. prktr kr ns r*urn&. rl$ rcquircs rhc atpli.rnr ttr \uch JErnrir r. 6tc I sigkd \txrcnrcnr rhd h.or slr ir ti.. $d plrsunnr
<br />ro rhc nmvi\ir)ns ol rhc cl,nrrlcttr { Li.cn{d Ldw (Chr|rcr 9, Conmchci.E wirh Scdior 7([D or Oivision :1 of rtc lju\ilcs ind
<br />Ihrcsrioa\Codctorrhrrhcurlh. hcx.nrpr rhcrcirorrtrd rhc tlNn nrrhc attcgcdcxcnunnr Aiyliohrinnol'Ssrion?0lt 5 hy rny
<br />rrpli.atr' hr r Fnnir suhjcch tlrc iptli.r ro,.ivilpctr.tryortror'norcrhrn fivc hu.rlEddoInrs(!;t00)
<br />-1.
<br />as owNr of th. F.larly. u ey ctrVloy*r witn sag.s s thcn sb corrr.B{rhn. will do lh3 *ort !d rlE srEle k mt
<br />int nd.n 6r o,Icrcn for sh (Se.7041. Bliiftss ed PrDf*sions Codq Tt* ConF*roas Ltc^e t,w dGs not apply to e owN, or
<br />rh. FDncrly vlbt ikls or iqmrs th.er &.1wh. des *h s himctror h.Mlaor thmld his or hcr own.nptorrcs.
<br />nrovid.d lh,r ruch ihprertrEnts mmr ini.ricd orotu lor $h.lf. hdsls. rE hil]irS d inprowE i. $U *nhin @ Jqrofoq'klion. tlE Ou,H Auft.r will h.E lhc hrtcn ofFovhg ll.!d tr or shc dn d hoild or iri+row rhc pDIEty 6r dE pEibc of
<br />_1..s owns ofthc pDpdy, @qclurieclycontrading wnh ti.enscd contaclo rosnerucr rlE roicct (Ss. ?0a4. Busincs
<br />and Eoftaiion Codc: Thc ConrEckrt Liccnse tr* docs tror lpptr to an ownc, ofDop.ny who builds o. improvci thcrcon,lnd who onmds for su.h l,mjdi wnh u ConlEclorlr) licen$d plNu.r ro the Co.lDcrors Lkenc Lr*).
<br />-l
<br />!m.r.E!r u.d* SNr a & P(' rnrrhn rcr\on
<br />woRKF[q, coMPt l\ls,{f toN
<br />DECLA8AIION
<br />I hcrcby rmrm undcr F.dry of Frlury oe of thc folk Nin! dddorions:
<br />-l
<br />htrv..odwill minlah 0 Ccn ifi..r. or Con* ro Scta-lnxur. nr w.rksl mnD.nsirion. N pd,vidcd for b,Seclion ITOOoithc
<br />Lihor Code, for rhe lcrlo.mr. 6i lhc work for etich rhc !.rdi h nsucd
<br />_l hoE ind will maintain worlcBi com!.nsa{ion inslrancc. 0s r.quiEd by Selion :t7lJO or rhL bhor Codc. ror ilt rcrtotuncc or
<br />My ion insum*c.-rtcr and nolicy numh.r uc
<br />ZtL4 I t rT--T-'-
<br />I.cnilr lhol in llE pcrf.rtutuc olrhc work for which rlis pciinir is issBl.I shatt nor cnDtoy any pcron in uy m.nn.r
<br />so slo b..om {bjc( ro thc sork n omp.nerion hws ofc,tildrnia...d agE rhol it I shoutd tE onE ubikt ro lhehrkcs onp.nsatio, p,ovisions ofS.crio.1700olrhc LIk'r Ood.,I sh,ll. rontwirhomtty wirh rrss lmviriois
<br />WARNINC: Faihrc lo $m wortcn enFnelion 6ve6gc is unla*tuI. .nd shlll srbls e mptols lo diminat FMti. ald
<br />civil nn.r np ro otrc hundrcd rhouend dolhr (!!m,uD), in lddilion to rhc aon. dlmBcs as tolidcd for rh.
<br />S.t,r$
<br />DT'CLA IIATIoN
<br />I hcrc$yafirm undcr I,cnrlryol!.rjury rhtrr l,n li.cnxn undcr p6visn,r otChqrrq 9(conrmrcin8 wih S.crkrn 70fi)).tDivish:l
<br />ol rhc Bu\irEs\ {nd Profcstuns cod.. nnd hy liccnc n ir fuU roft un rff(t .L
<br />-<.1,t?o
<br />(0NslRllcT(|N I l.NntN{; A(;DNCV
<br />I herchy 0f6.fl uMcr p.Mliy o r pc,jury thrr rhcn h a.on{tucrion hndnrS necncy r$ rhc ltrronturcc otlnc work for whRh rhis Frnir is
<br />i\suc{ (Se 1097, Civ (').
<br />APPI I{:ANT NN'CLARATIoN
<br />I lf,fts, alltn undcr pchxy.rrfjk, oN ot'thc t'ottowin! dc.t&tninr
<br />Dcnn,lirion I,.nnirs sh.ro\ Noriii$rirr l,cdcfll RcEUtdionr flirlc 41), ftn6)
<br />Rrtuncd l!rcr.t Norirr.dior
<br />-l
<br />.cnify rhar rlE f€dcrll rcSuhrhns Egr.dins ast slos Emv.t & .ar al,tti..btc ro this pmj.!r.
<br />l.cnil,rlN llu{ rud rhi\ appli.rir)nodshrc irlorroriotr r.odc.r l,sr.{ r' conlPly wilh lllCnylnd counry
<br />ordi'rn.cs nnd Srrrc Lr*\ rul,rine h 6nildi.g eprcscnr iv.sofrhnC yandCounlyroenrsuB'nrhc
<br />al,olc Nnriomd rr.pcnr lor in 5.t,/F
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underlloor
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Roof Drain
<br />Tub/Shower Test
<br />Flou h Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Back Flow Device
<br />Rough Plum bing 9-{-lk v.v/1b)
<br />Final Gas Test
<br />FINAL to/q/t*6rtoz*-
<br />Notes Remarks, Etc.
<br />Buildino Sewer
<br />Water Pipinq
<br />Gas Pipino
<br />Main Drain/Pool Pioino
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cao
<br />Meter Release
<br />/m.-
<br />l.ndcis Addtus\: _
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