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PLUMBING-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS owNER AUlLDai aELa^ra^rON
<br />I hdr$y .ttm u,i.. Frty of F,lry lhl I h d.npl noD lh. Cofl.rrd LiGGM Lr* tr llE hlbwry E$. (S.. 701 L '
<br />Bu.rm !,n Pmfdnn Cd.): Ary Cny or Couny rnth rqoiB . Frr 16 qxtrN. .t6. 'npmi!, &thhn n tF dy
<br />iru.rur.. Fior ro irr inm..t!o rquid rlt nllirr 6r uh For ro [h. igd d.l.rErr rlr h d 3lE a lirEd l{&.d .
<br />h r n ohird of tlr Cdxrrrai Li@r.d t w (Cr+rn o. CoIwrirs pnn S..lhn ?000 of Di,rbn I of rlE Bui'B t,td
<br />Pmtsid Con ) or rh.r lr d iE r erpr llEltDm rld rlE lri i{ rlE.lLs.d q.n$bn Ary vbLri. of S..lhn 701L by.ny .
<br />lrplo 6r !p.mn ohj..rr rlt lrlic.nl ro . dvil r.Bhyof br DG rho fr. tun
<br />'t{.t'lLr
<br />(tr00,
<br />_1. u .qE of rlE FDFnr. n my .nvhFd wnh nt6 a llE .h qnFiri,c *ill .b dE rtn rn d. rnte r r{
<br />ildi.d or6tu to. .t (sc.704a, BuiEs rn PmadiE Cod.' I lE Co ncrd t Li (t, dtd ml {9ly lo D osF of
<br />dE Eioaiy rtn Lritt r nttlE rhdEr\ td rtE .td.dr Et hirlltr llElf d llNlsn hd d h.r om.nphyq
<br />!ovd.<I rtIl {ch inp.lrm r N d iroi.d noE d nrr.L. l( ln*tc. dE lioiui,'g or intrvBr.,l it mld vthin o* t*
<br />ofc,lplarr\ ltE fiE AiB. riu lrr dr hdd! ofriovit ir lt d tE dil 'El hnld d !,!.oE dE FFty tr 0t FtF* of
<br />-1,
<br />s 6wE of rh. 06rdy, m q.lurEly mddin3 wdt lrcd*n 6lllr*iod ro otrrru.l itE ,'ol.d (Se. 7044, AurlH
<br />!,n rhlinco(l 'l h. Cod*id r L*.r tr* &6 6r .,?ly ro m orF.lrrsFny,ho llurkL or in?NH lh.ror\
<br />.nd f,ab 6drEr tr scn ,rDj.tri wrh r Co drlr, lEmd puN.tr lo ttr Conrrrddi Li(tG try)
<br />lra85E8[CA!E!!lAIl0!DlclJSallo!
<br />I h.rtly rmrm und.r ,...lry oln rjury oN ol tlE lollowhs d..l@rhB
<br />-l
<br />h.w rn will eid.tr r Cdifr.r. of Col*d to Sdf-lmE for @rldt @mp6.rid\ d Fovr!.d lor by S.di)n 1700 ol llE
<br />t lr Cod.. ft. r& FtlllE. of E wt &. *titl rlE Fnn a m.d
<br />-l h.r ind rill tuidrD wlo .omF.lrir !6llu.. - r.qold ty S.dnn l7m ofll* Lrtor Cod.. tlt rlE Fbllu. of
<br />rlr 6l i, rtrah lhn Fr, ! Erd My wqtd 6rFdb. r.Elrcffi rd Fli, tr6IE c:
<br />Polry Nur{r-l'pB:
<br />_l odrq rtu'n ilE F6m olrlr s lx rt.h rhF Fhn u i*{ I trll br.lotry ey Fsn b.,y ltl.ttF
<br />i u ro t om rubj..r ro rlE wrt6i @ntinrdon hs 6fc.Ihtu. .id .8G fid rl I rtbuld b.<.m Nhrcl lo lh.
<br />wo.td' odrEr-rbn Fovi6 ofs.dbn !7m ofrL Lrlfi C6&. I til trhxnh o,pt rnh fiE Flviiird
<br />WAt,rI G: IrtE b m wt6' m,qE lrhn ovErr. i. u.bttuL rd i{l rbF m clpbF ro f,iEl F!l- rn
<br />cMl fin.. up l. oR hutxl'ld rlnubnd dollrn (lloo.fln), 6 idd bn r. r 6r otoq.Eriol\ {t dsr! it trted.d ft,r llt
<br />s..rhn 1076 ofoE lrkr Cod.. i slr rd idry r ftr..
<br />IJCEIIiEISOIIIACIPEllcutADo!
<br />I hdr[y rlrm u.&r Frry olFrt yfii I mlEE d ur&r Fosm otclrr.6 9 ((rl{ljlrElg,ih Sdbn ?000] oaDiv'rih ]
<br />of rtt BuiI6 .d PF&.i!B co&, rd my lrru N in tull foe rn .[.cl
<br />CqIEISUCIAIAEIIBG.AGIICT
<br />I h.r.by .ttm ufld.r Frlry of Fr'lry rh.t 116! n . oinMrbi ladins .|fty tu llE Ffr, e ol ltt srt t}r wtrh lhr Fnr ir
<br />'-rd (s< ,o9?. Civ C.,
<br />AIIUCAILIESJAAI&!
<br />I Hiy.&n u"d.r Fohy or Frrt or of rtE hll6*n3 dcldr.M
<br />D.mti.. P.nDrr-arlEror Norilic.rM [.d.61 R.8|!hlaonr (l tk iro. Pd6)
<br />-R.quEd
<br />tclrs ol Ndrfranon
<br />I cd
<br />'fy
<br />rtfl tlE fd.El ..rulari,^s Esldms ert nnr r.nr)!sl nr. fr apph.hl. to rhir pNJ..l
<br />-l
<br />cdriry rhd I livc r.d rhr .tiDli..lhn !,n !1.lll.l lh..lnE i.fomthn i oc.l I 4tc ro @tPly vnh ![ C'ryrid Coutxy
<br />drli.lB.ld 91G alBcLlt b hoildiry or*!rdd\ rn h.r.Uydh.riE EF* rE oflh. Clyrn Cdtly r..trd l+on r
<br />.toE lBrioi.d rdtcny ftr hq!.s.i F,Da.
<br />Applr..nr or Agdr sh..iuF:
<br />UNDER GROUND
<br />Waste & Vent la[- .6lulurr I
<br />Gas-Underfloor ,r<\
<br />Building Sewer 6- ld-/?Xill|s)
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Lawn Spr.p(le1 r
<br />Sanitary 6ewer)Cap 610-n I xuJ,lttl
<br />Back Flow\D/evice ttY
<br />Rough Plumbing
<br />Final Gas Test
<br />FINAL
<br />Notes, Rema6ks, Etc..
<br />6l4lLtt t4& ln!.du-t Dn 7e^ 4l^b,a L/ d,a r*- rilwTya4uacc)
<br />I rl rult
<br />APPROVALS
<br />Water-Under floor
<br />Miscellaneous
<br />Meter Release
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