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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />WalerUnder floor <br />Gas-Underfloor <br />Buildino Sewer <br />Area,/Storm Drain <br />lnterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Pi nq <br />Rool Drain <br />Tub/Shower Test <br />Rouqh 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 />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 Belease <br />FINAL <br />Notes Remarks Etc. <br />OWNER AUII-I'ER DELCARATION <br />I h.r.hy rflnm uBLr FNlry 0f Filury lhor I !d cr.mpr fmm rtE c.,nlrE to6 l-k.ne tj* r(tr lrF followins E!$n ls.t 7(,.11 I <br />Iturin \ urt horc*io. (irlcr Any Ciry.r G,onty $hkh Equncs d Fnir r, ..NtM, !1t6. imfoE. d.fr,lirh or EFir dn, <br />nndur. tri,, t' ir\ nru tuT. rrs rcautFll[ o0plad.l lor ruh lt.nil ro fiE a <isrd i{rcftnr rh.r h.lr nE ir ltcnrn tM{trnr <br />n' rlr F,rBi'B ol rlE (ill'lB-xtr r l-un{{ tr* (('lufl* 9, ConmtrinS sirh Sdi.. 7tu, oa Dirni'. I oI rrE 8unfts dd <br />Pn,lr$r,n\ (iiL,or ihrr lr,, \tu ir.i.r?t rh.r.fiom d rh. h.iir for tlE .lk8cn .r.q,lirn AnrrirLrx,nulSdi,nr0ll thylnr <br />rllrrrnr n, !Frm ruhF_h ihc lmlf,.nl r. uorrlll.ohtolmr mn. rh$ ritr hunlrni tLllm (!'($r <br />-! <br />u ffio,ih. FoFry. d o! 6pbt6r rih o.!!.. dEi Ft oEFErh.. *O& tt Et rn lb {trff! i ol <br />irad c ottrld h * (S...roaa. f.irn rd Mrd,E C.dc lil Conrad'r LkqE lr &6 Dl 4d, b n o16 ol <br />ii. FtFry ?ho blb d ltFoE dEdE rn rlE.tB.ri Et hiEll a lErra drdal h& d t6 oid9brE' <br />Foeld..l dtr dl lrryu,Gn Gd ld6.lbra6..l- LlE*E.dldbhaa!406!r r-Eollilc troro+trhc lbOrE llk *l! lrE lb &ro(F*rt dr lEdiE.E rBl hi! a iqlr! ltE FFr, l, dE FtF..r <br />_lu c of rlE FDFrr. d.&rdiEl, olr'rrii! ,an Lrr.d orr'-16 ro @i*rEl rh tFF (Sc. ?flrl ,uiE <br />.d lbrl Cod.r TtE ConrJlo r L-.nc t rdG rE @ly to u orG of FDFI, rto nttb or it!!o6 lhadr <br />.!n rb @ ,*r ttr .dr FrFr. ,ih . C.rrlrrqlt, lilE d p6rn 0o &. Coo-rd'. LiE lr). <br />I m .rcmli udkr S.rl <br />iuraf,Eas:s&tBsA.rlq! <br />DETIJXAIIII! <br />I hdrty !r!n und.i Fflty ol F,ury om ol llE folh,h! d..l,nlbnr: <br />*lhrw!nrillri.n.(dif..l.of(nnsrloS.lf.lnrurcfnrcl6NrrErrti)traFovil.ntubySd.nlrfllolrlrlrv jlrt , rd <br />'rF rrrftimre rl llr Frt lm ctrh rlr rEmn 6 $ucd <br />Zl h,rc lnd *rll d,nr!'n *orl.h m'r{r.nerr{ 'mnft.. r Eqrftd hy s(rir 17m orl}E lrlfl C.d., for !L FfdtN nr <br />j,,p"","*",*.-" - Prry.unrq m <br />S. of l^J e <br />tt--t/77a I <br />l.rn 11rl rnrlrn 'l(n!'re!,rrtu qfrk lrtr trhi(hrhi\,rnnir tr N.uo,l. I \l'rll nor . o!ri,rtr'!rnnn) rri'rr <br />y, r\r! lr1onr {ht(r t)rtu {.'ku.conlxn.rii,tr, Is\oiCrlilnrn'x. rn(litr.r rhrr il I\k d tr.'ntu nrhN.rk)rlt <br />\(, rtrtr, I rri, !illl,.l ,,htr (irL(7;,,,,.,/'?t'z<) <br />lll:9,,i-8.tlJuti <br />I lErby drii snd., Fdy of Fi., 0!r ! m terd 6.lr Fo6ir of O!flq 9 (qBEri!, *t|l ssrbn 7m) or l,|rbbn l <br />ol dE BBL6 rd PrntrbB Cod.. ..d nry lilc k h tull br d dk- <br />cx.62?>6( <br />,,,,, | -23'zb <br />qqlNITqqIolJEDB iIGE(qf <br />I h.r6y.rLn u&r FdyolFt y n E!itr oldrErin Enin, ..d, ii.llE Flb.ffi Drlh.6t t, lllti$i lgr i <br />iis.dlsd loo7. cn c, <br />AITIICAdI.Oq]IIAIIA <br />I Mr.en uldd FrI, ol FJry @ ol th blb*ilr d..Lnbc: <br />OcrFAbn F6rl}A6.nd t{o.ifE rih Rrldl R.t{bia (TaL rO. Par6l <br />-R.quH <br />1ddoltullilin <br />_l Erit, d. rlr lt&rd E Ehb6 Ef.di! r.6.i6 rrvd e Dr .PPli-k ro dlil Flr*r. <br />-at 6rlfy drr I bE Ed lhl Bgli.ah .nd r'l. du rL .bE hfomrin l.snd- ! .r!. i6 cordl *ti .ll Clr.nd cdrr, <br />diht6.!.1Sl.l. t,t Ettha ro bildha @d!d.a. -d bydhdiE EF*llrtq otddt C!r.d Coor, io .d6 l+o.ib <br />.'ltn. nrtrrnul p",l\ir\ l! tr'\Faintr' I['txN\ <br />c /.?9-zo <br />t ult[,.|rlNEtt? wtiit- <br />III <br />I <br />----lt <br />1 <br />-.J-.t Zl <br />eppttolr or tar tilrurun: \16 v\ <br />P..nili Em (prld, ?.d.