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PLUMBING-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OI4NER BUILDER DELCAR TION
<br />I h.Et, amo u.dc. p.Mlry of F.iury rhd I m cxe nF nom rlE Contracro6 Lien* k* tor rlr aolloqinS rc&n (S6.7011.t
<br />Blsincss aid Prcfossh Cod.): Ary Cny or Cou.ry which EquiE a p.mn lo @istf,rc1. aI6, intprcw. dcmli.h o. EIEir 6y
<br />sml.re. rni lo irs iswc.6ls rcqlirs thc applkur for iuch Fojr to liE. sigBd n .mnt th.l lr o. rh. E liccns.l Fwet
<br />to rn Fovisions of rlE C,nrrarol. Lklr*d tfv (Ch!pi( 9. Conmmi.g *ilh SNion 7000 of Dirision I of th. Buin.$ dnd
<br />PDlessions Codc) or llEl lE or slE k cx.mrI llEEfrom,.d lhc bd.i3 for !h. alLgcd .rcsplion. A.y viohrio. oa sdlnn ?011.5 by a.y
<br />.lpliclnr lor ! p.mi $bj6a dE .t plio ro a dvil lcn.lty of mr mE rhu fivc hutrdr.d doll&s (35m).
<br />-1,
<br />os owm ol thc FoFny. or m, chlhyer *irfi {ascs .s lhct $k orpcnsrior wi,l do tlE {o!t ad llr firr@ is mt
<br />inrcnd.n or ofi.Ed for sh (Se.7044, auiift$ .nd Profclrions Cctr Ti. Conm.ioas Lic.ns tle d&. mi apl,ly lo .n opmr or
<br />rh. rhFrly who hiildr or inircB lh.@tr ard eho &rs skh urrt hiftsclt or h.r*lf or rhDlgh his or hd os.mrlore..
<br />providcd thlr such inpmwnEnls m mr inle.{h orolEEn lorsL.lt hdwE.
<br />'hc
<br />toidin8 or inp@cni bsldwiniior rq
<br />of.oiqlhdorl rhc Oqner BuiEf eil h.w tt hnkn ofprevir8 [l!1 lE or dE dll mr huild o. in oh UE pmFdy fo, dr purpocof
<br />l. asolkr6rrhe Inopqiy. amcx.lnsivclyonr,acrii8 wnh [ccns.{ controcroN to consrtocr tL rm.jccl (Se. ]044. Busircsr
<br />8nd Pnfts\bn Codc: Th. Conr&lols Lic.ns. Ltrw dcs nor .!ply ro s owM orr,oF.ly who builds or improv.s lhcrcon.
<br />"nd who co.re$ for such ,,Dirk snn a Co' E ro(9 lhcn*d ruKunr ro rhc C,nrmcrols Lic.ns t!w).
<br />_l m.xcnfl undc. S€rion- B. & P.C. for rhis rc.$n
<br />WON(FTS' COMPENSATTON
<br />nEcr 4R TloN
<br />I hcrcby dmrn rnder rEBlry of p.ijory om of rhc lolhvins delea'iotrsl
<br />-lhleadwillmi
<br />ain! C.nifr cotcrnsrroS.l nsuE tor worLcB NmFnsafion. as Fn dcd for bysftrio.l'700 or th.
<br />trbd C.dq fo, rlE lFfo,rjse ol th. *ut for whth dr Fmjt b issri.
<br />l hrvc ,trd will .uimi'r r.rk$\' c.n{ssution i.slnncc, as rcquncd $y Sccr nnr :!rur ol rh. tibor Oic. for rtc ncrforruncc ol
<br />I)cnnir i\ h{Lrl Mywork.rr c{,mpcn\olion in\ur cc cadcr ond Fnicy nun$cr al<-o
<br />6q-6rzcl q
<br />]l!c,l)rhrr rh!lt l'tr'nrirct,frhcn rk|,tr{h,chrhi\nrrn'irni\{kd.Ish.lltror.mFl,ryrtrylf,rs{inrn,mrtrtur
<br />$ Nn, hc(rr stbJcd ro rhc *odcr co'nFnBrion la*s ot Crlilnrnia. i ,Arcc rhor ir I should h.conr \uhj.d ro rhc
<br />soikcr\ cdnD.ns.ri{,r lRlvi\ionl urs.cri(,h 17ff)olrhc LJtIn Oxic.l\hill n)nh*irh.omply *ilh rho{ pnni\ions
<br />WARNING: Flilurc lo surc srkctr conp.nstion .owmlc is lnlowtul. and sholl subFt rn .mploFr ro rininol l).nlltrs !M
<br />civil fincs u,r io orc nundEd lhousnd dollds ($100.{xI)). i. addhion
<br />'o
<br />lh. osl ofcomrcn*lion. damgcs G pmvacd for lhc
<br />I}ECIJBAIIIJN
<br />I hcruby rftroundcr pcrdry of rcriu.r rhlr I dm lircnsd undcr provhion oiClunler 9{conrmE-^ins silh Salion 7mO) olDivnh l
<br />of lhc Busincs nnd PmltssiorN Codc. ud ny li.cns. i in full rorc. anl.rr.cr
<br />56j
<br />W tt-t<
<br />COX AIEIIONI.IiNDINC.AIiEN.CI
<br />i\\urd(S.c 10.J7. Civ. C r
<br />-l
<br />ccdilyrhat rhc rcdfinlnguhlions merding {rb.$.r rcnn,vrlr,c nnt !odi.!hk ro this pr6jccl
<br />-l
<br />ccnily lhal I turc rcad lhk appli.otion .d (at 'h (hc abovc inaororio. i* .oGr. Lgrd t .onpry snh aI Cn, !d C.unry
<br />odinanccs and S'alc tiws Ehling to buildinS con$rudion.8rd hcrcby {uthorize EpEenoriv.s.lrhh Ciry !.d Counly ro.m.r uF,n rtE
<br />rbvc n*nrn,n.d pn,p.ny rr inrr.crn{
<br />,\ppliunl or AA.trr SiBtr{(l'rc:
<br />-6 -6
<br />c>e.
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under f loor
<br />Gas-Underfloor
<br />Buildin g Sewer
<br />Area,/Storm Drain
<br />nterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipino
<br />Gas Pi prng
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />S anitary Sewer/Cap
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL 1*Zo _tr x-w14t)
<br />Notes Remarks Etc.
<br />DATE
<br />Miscellaneous
<br />Back Flow Device
<br />Sdion 1076 of rhc Lrhor C.d., intcrcsr ud
<br />,.', t'- l3-,(
<br />Lr(kr'r Add($: _
<br />APllIcalfD[cLrLBduoN
<br />I hnib, ,lli6 u idc. F.alr, of Frju,y otu of rh. follosing dNhror ions
<br />Dcnnlitiofl Pcnnits Ashcslos Noli6c0lion lJedcful Rcglhnrns (Tnb40, Pd6)
<br />-Rcquircd
<br />Lcltcr of Nolificolbn
<br />Pcmllee tune (p.ltrl)FanG\^,"G- (1*/Z
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