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<br />PLUMBING-INSPECTOB RECORD
<br />APPROVALS DATE
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent I -\ - -\.2 ,-)
<br />Water Piping Iz ' l\v,l\.Z
<br />Gas Piping
<br />Rool Drain
<br />Tub/Shower Test
<br />Rouoh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service /*-r1 4 (c zt /frz.r- ./2qA <{";)
<br />Water Service ,h 6'
<br />Lawn Sprinkler -ft.f'ro>.-@ 172 fi-e--
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rouqh Plumbinq ')\r" \01 t114il
<br />Final Gas Test 8.,811 ll-c,Yz-'t
<br />Meter Release
<br />FINAL 6n8$Wzl
<br />OWNET IUILT'AI DI.(TTAr!ON
<br />I lrEh, 11116 !i&r FMlr, of Fdlry $d t 6.&n$ frsm lh. Cd,rr&1.n' Lirr Lr* for th. follo*ut itls (Sd.7011.,
<br />Buri6r .d Prot$i'n Cod.,: 4,, Ci, r ClM, wnih Eq{B r Fd ro @. 14 .ra. l,tteE. d..lDlith d ,E iir oy
<br />N.IE Fbr !o iri b.tleq, dso Equis rlE +tlkur for sh FmI ro liL . !i8E ! drdlFr lh, Ir o. lli h ltcn d Plrr
<br />ro rlE FoviriH of dr Cod.-r('. (&.rq, t r (Choro 9. Cffiil! *nh Scrlh ,m ot Divi.bn I of fi. EuiE rd.
<br />PNf.siJnr Cod.) or rh.r lE ( rlE h .r.trpl lh.EtoD rld th. t ri. for llE rlL,.d ci.t{xbi. An, vi.Ltbi of S*ibn ,o.l1 .5 by rny
<br />.C?li.d rd r Fmi sbFi rlE rpplird lo t civil p.dty olmr mE rlrn liG tudrcd d.U$ (ltq)).
<br />-t,
<br />a orH oarlE FotEiy. o, mr.r!pbF< *!h w.!pr ! ort nl. onp.nr.rirc wi[&' dE Ei rd r. nffia i n,
<br />irdd dotu l' -l. (Sd.?oaa. auiB.,'d hotsiE Co& Tl! C.nrdo..tLiff t &c{rbl4Da,buffiof
<br />tlr Flpdry elb !.ildt r irF6 0EEr! rd *ho &a un qit hi@lf or rrFlf or ltmual hir d,Er om.tploy.6.
<br />FDviLd fid sh i'rl!){!t6r e ni irdLd d.ild ld.h. lL lwE.llE tlaldir d ilFcnd b-E rili' c rEofortlbrie0ro!,cElilrsilttErbtltnar.fl,ivhS.hd{Edn'bib{i!dinfilEllED6Ftylo.oEFIFEol
<br />l. ]\ou,r',,i rh( Il,tf,nv. rtr,.r.lhl\clvr nrri.r'n! u hli..n{dL'tr fu.n \r,.'(Nrrucrrh. F',rcl I
<br />.'rl trl'o r nr,'r\l', \u\l'tr,l}(r.* h,t
<br />,*.J,,*.t;Hlrf r 0
<br />I h.cb, rrrf, !nd( Fnliy 6t tEiry oE or rlE folr,*in, d.(Lr.lin
<br />-l
<br />lftrdwtllmi tir. Cc.riar.E olcoErl lo S.ll.tllG td nrt6'cM0qirbc u FotiLd fd tr Salir 3r(D of 0t
<br />t tor Cin . fd llE Fforrrr. of lh. krl fo. *htn r Ffrn n iiiad,
<br />J h.E.d *ill mifl.in mrtd @ipcN.rio. L'6B!. e r.quild b, S..rih !r0 ofllE Lltor Cod., fd tlE Ffo,rrc ol
<br />dE rd.t fd rhich rhi' !6nl i. iq8.l My rqlo' @np@ibo i.ffi nl.r d ,.&y onba &l
<br />-t.srif,
<br />rh.r in rlE Fforre olrlE *o fc *nih{rlr Fnn ir hqErL I rll.! mr.reloy a, Fm. b6,n1.!F
<br />$ s b b<oE qhi.r ro lh. Erd on .tEdih Lsr otcdin rirDd{Glna IlI tbold bdofr obirl io tlt
<br />kd6 Nnpd!.tin Foei'bs ol s.nin l7O ol ft l&. C.ic. I drll f.ilhrth olPly rlh dE Fti.ir.
<br />,,., f-{y+B
<br />t h.rbt trm uilta F-1, ot Firy D. I n [end u& Fovi'bo of ct'.f,6 9 (ffilrt rnli Scrbtr ?@) of Dni'n I
<br />of rh EuliB .d Pt!&drN Cod.. .d dy ILle ir h tull flre .r!d.lE r
<br />(0IN:BI]SIIIUADn{i.AGBCT
<br />I lErq,rrDltiLr Fdl,olFiuydr ut ir.oliurir hdit.i*, r ll. Pdlb.lilE df ln.*rt 6i rni.i lllir FEi i
<br />hnEd (s6. io97. cir. c.).
<br />AIIJIIAI.DSEII{IIA
<br />I lE br.!tn urd.r p.tuiy of pcrjury oE of llE foll'*ht d..hnlhnr:
<br />Ortulii,n Rdi'46.r6 t{oiiaErir &dd.l R.trhia (Ttl lo. P!r6l
<br />-R.q!!d
<br />t nd ol tlri,L.rhi
<br />Ir.'r'l\rhdrh.l.d rl'.I Lrt)n\to!r(lnP \lano\
<br />I
<br />rtiE nmihBd tmFny
<br />1b
<br />-I
<br />ID/SIG.COMMENTS
<br />Notes, Remarks, Etc.
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