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PLUMBING-INSPECTOR RECORD
<br />owNr:R ril:Lt)t,tR Dt1t,( IA'uoN
<br />I hcr.b aIfifln undcr Fnrhy (n lcrjtrrt rh!' I rn cr.mrr [io'n rtu Conrr.tff Lic.n\c li* ttr rlN followi'rE .c!bn (Sa 7031 5
<br />Bulncs\ lid l'rorc*ion cldc): Any Cnt .r Counry ahicn rcqurcr r Fnrit ro co qfl.r, akcr, nnrnnt. d.nr,li\h ,r ktr,tr Jnr
<br />{ructrrc. priort' ns t\umcc, !l\o r.qunc\ihc qrpli.ur aor .h pcrnir ro ilc I sisncd n cnr (har h.or shc n lEcn{d nuisu, i
<br />ro rh. l,ovhnm ofrhc Co rcl{rst,icetrscdLaBtch.Un9.CoNncn.ingsirhSuctnn?fl)oolDivision.lofrhcBu\incs\utui.
<br />Pror*sioDsCo'lc)orrhdhcorshcacr(,rlhcrcrrotrr,ndrh.hr{isturh.dllcscdcx.r nnr. Atryrirndtionofs$rbn?0lr 5hr!tr}
<br />ap!licinr for r pcirnir subjccFrhc atpli..n[o acrvrlpdntrlrrolnor nnrcltrn firo hundrcndollss(S5lx))
<br />-1,
<br />as *mr of th. p,oFny. or Ey enployBs wnh wages !s rh.n sk conlltn.llion, will do lhc vorl el{I tL sr*re G mt
<br />inl.(H or orc'ld lor sle (56.7014, Busiftss d Prcf6sions Codc Ilc Corb'&rtr s l4cn* t w &rc. ml lpply ro d ovm ot
<br />lltc pmrEty el, ltrilds d irtmm dEls. .rn vh. .ro.s elj hrt hilMlf or lErslr or lhm{sl tis or lEr own cnp&ryei
<br />pmvftl.d $n s@h hiprctmrn!dmli.id.dtroltulorsh.Il,howw,irrbuildi.SoriqmEmnlksldwnhinoftFd
<br />of cory)lcfion. rhc Owftr Buildcr wil hrw de bud:n olpruvirg [u lc or lhc did ml hra!! or inpor tnc poFiy fo, 0E putos ot
<br />_1. a osrcr of rlr tmFry. !n cxclusivcly conrrading wiih liccncd @trh.rc to @Brru.t tlt proi{l (SEc. ?044. Busifts
<br />ond Prof.ssbn Codc: The Contr&iors Li.cnrc Law do$ not opplyro tr. owncr ofprcFdy who huilds o. improrcs th.Kn,ud who oirtucrs for such Fmi4lr virt a Conrmlo(s) licens.d DUR@| ro rhc Co r&ror's Lk..$ kv).
<br />-l
<br />d.rcmd lids Sari.n- B. & P.C. lor rhi! rcas..
<br />WORXN-RS' C(}MPE{SATIoN
<br />IIICIABAIIUN
<br />I hcch, nfinnrondc rnulrynlpcriuryom otthc nnbwina dccl.atn,ns
<br />-lh!v...dwillmi
<br />ab ! Ccnifrdc otc,efl lo Scl rsuE for mrtql6nFNatio.. s pmvid.d aor b,Serion 3700 ofrhc
<br />tjbo, Cod!. for rlr pcfomft. of rh. wo* for ehth rhc pdmir ir isud.
<br />_! har and will roinlaii vorkcB conFns.rio. inrrdft., {! rquted by Set ion :1700 ol rhc kbor Cod€. for fic pqror@ftc of
<br />lhc ert for ehth lhh pcrdjl is issrn. My wo*ss o,np.nsdion inu[nc. @icr ari pdlicy nunb6 @:
<br />F LH / trt t,*r/1r
<br />zAwat oa q/t /,q
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<br />ccnif, thlt in lh. pcrformrce of lhc rort lor whichrhhpcron is issued,I shall ror coploy lny p.rsn i! rny Ma,
<br />so * lo b..o@ sub.iccr ro rhc wo*ds .rmpcns.rhn tBws oactrlilomia &d a8rcc lnsr if I shoutd bccom subl.cr ro rtE
<br />wortrs oqrnsrk,n phliaioos ol Sccrbn ]T00 ot the L3bo Codc l slEll. fonhwirh omply virh rtss l,ovtioB..
<br />WARNiNG: FJlnre ro slrc solkes' .omncnsolion mvem8c n u
<br />.ivil fincs up b onc hlndrcd rhous2nd dollEtr (Sroo,ux)). in nddi
<br />nl,w6il. ond sh,ll suhir' d mplo)s
<br />'o
<br />aimind pcmlli.x .nd
<br />n Io rhc rci ofcomp.Ndr.., d,m8.\ ss tmvdcd lor rh.
<br />sccri i l{)76 0frhc litxtr Grdc. inr.rc{ md dromv r ffts
<br />b la \{
<br />DEI,IIIaAIIQN
<br />of rhc h,sincs\iid Pn,tcs{on\Codc. r d 11" liccn{.n in tulllnr.. iclli.r
<br />LLI DS I LI;
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<br />c21 91ttqL
<br />calsrBlEl(NlxNo]N1iJt(rr!(:r
<br />n{r.ilrsr. 1097 ( lv C r
<br />afruc^NfDf:ctrErrlo!
<br />l ,rtby dlmn u dff p. tralry nr pcrJUry onc ol thc n,lhwnrr nr.- hnrn,ns:
<br />D. hlirion Pcnnir\ AsiE$o\ N.tifi.uli,r ltdcralRcguldir'n( lTirl.40. Prn6)
<br />R.quRd larrcr of Noiifi crrinr
<br />I .cn ily rhnr rhc ltdcral rquhrio.s reAadinS Ntre.s En$lsl rc norq,plicrhlc r, rhi\l(,jmr.
<br />.cfliryrhd I nNc rcod lhit appltarion alrl (olclhd thc !tn!c inlomlhn is corol. I 08rc ro conply wnh sI Cnysnd Counry
<br />odrricc\ nJ srrrc hwsrclnrinr rotui nrr (on{ru.ri, ,.lrhDriz.rcftusc ivc\ orrhir Ciry&d Cornryb.nt$ ofi,n rhc
<br />$.v. mtrlioncd pmFdy for insp..!
<br />r\nDlicr l or Ax$l Sirnai'c/tz /,*
<br />APPROVALS DATE ID/SIG.
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterce ptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gaq Piping
<br />Rool Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA wfP-tra Drain Line
<br />Main Drain/Pool Piping I
<br />Pool Heater/Gas Line x
<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 />FINAL n\gg
<br />V
<br />)ttwC t4 CEA/OIO
<br />COMMENTS
<br />>'*
<br />)6"",ble / rs
<br />LcndclqAddrr(
<br />UNDER GROUND
<br />I -/7 n'w \\7 /t/
<br />Fill Line/Back Flow
<br />Meter Release
<br />l?/tl
<br />Notes, Remarks, Etc.
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