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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent lt €,lrslO -//&/q )
<br />Water-Under floor
<br />Gas-Underfloor //zilBuilding Sewer /L r-/rslr / -
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Wasle & Vent
<br />Water Piping
<br />ehflrt -Gas Piping ,OQ{')
<br />Roof Drain
<br />Tub/Shower Test elrgl tq r€r nt /ol
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain Line
<br />Main Drain/Pool Pipinq
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service t+C,ils /r, -u^rr0i )
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing e lrr lrll frSrr lol
<br />Final Gas Test qlll tc l*A/* t.jrl
<br />Meter Release q.L.,, - \4,
<br />FINAL t b.??- l\
<br />Notes, Remarks, Etc.
<br />OWNEI AUIDEf, I'ELCATAIION
<br />I hatny.nm u'ic Ddily df rEriu.y thd I m cB'r ton dE Cor.n 16 Ltdg Lra h.lh. folloxq 'ren (S(70lr.l,
<br />Buiind ..d Pmfcabn CorL): Any Cily or C.orry ehth Eqlid ! |tftn l. 6ttxd. .l!., iDpmrq .l.mldr or Eli! uy
<br />n,ErE. FBr' n. 6m. rlo EquiB llEIt'ltd tt *tFr$ b flc. tnt d i&trE ltrlroriEilt cd F,sn
<br />ro rln Fo6b of dE co.rtutd r Lien..d t q (clElrd 9. coMi.s tnh s..rbn ?00o of DFitbn ! 6r llr a!.afs rnd
<br />Pre&-bM Co&) or thl lErir i.a.r!r lhdtsmud lli b..i hi iE.llrS.d eqtvli.n Ary li,hlir ofsdrbn 7031 I by oy
<br />+plilrr trr.,Emn i6j6r, rt .rttldtr to. il Frtyof Br ltelb. fN tu..HdolhF(ttfl))
<br />-l.s
<br />ffi of 0r FrEny, d hr.trpbrE rilh Et6 r drn -l.onlEdroo. d d, dr wr rd llt rnEG. lBr
<br />tund dolEE{ 6. -L (SG. roaa. B!-B !d Prohd C..1" IlE Colf..|d. Lilt Lro do€ d @ly lo -ffi of
<br />rlEFFry wts boil6.r irsoE ltdh( Dd *ho dd rEn E h'dlr or lEElf or 0Fuan nb or hd oM.t4loytd,
<br />,mviL{ rn r et n F'EEr. E d ddld.d * o,Etrd tr -1.l( lr'w, rtr l ld.r(!a.!rffi.-Eritrc )E
<br />of@ptrro, d! ()16 BdBr {! trE EhrtldolFnlltLltdtr.Udhildcri!.8rh.p(raiy6.[EF,Frol
<br />-1.
<br />MoUGofrlEFtErn m.kt'rEly gn.rriq Iirh li,rd @drid6 ro @druc 0E Fr.d (sd tua{ &tiE
<br />rn Prt i, Co&: Th. Conlr..rq , Li.GB L.r d6€ El .mly to o owE ofrmFny qho blaldt o, ioPDB llEttr
<br />.id who 6r.rE! tr r:dr For.dl ,in . Co.rr..r.(t) liEi.d Frrilr !o dE Cd.rrrd r li{i Lr)
<br />I &r.r.mDr ud.r Sdion-, D &PC hrthir d$n
<br />D.r.' Orrr
<br />woRxrqs'coMPE salloN
<br />IESIJIAIIA!
<br />I tRnt.mrm u.d6 F hyof Frury oE ofllE follrslB &.hflb^r
<br />-lbErnr
<br />rd! ! Cdrfsr. olcoGr lo S.lr.tEE &. wto diFttdi,.. a ,ftvi,Gd ft. t'y S..rih liq, o,tL
<br />|- bq Co& lx rlE Flbrffi oirlE xlit ft. rt.t lh. Dd6n b ie.d.
<br />-lh.E.rn? mdM eo.to o'rr|dd l!lm..B Eqtld brs..i.n r70oof0E blr coil.,6rdEFirnGof
<br />rlE mrt itr whrn !tu Fmi ! 6rd My wta od{rtidnn 'ffi 6n dn Fliy Ndb6 E:
<br />PoE:y N{e5--Elpd:
<br />-l..nrfyrhlr
<br />ii rlr r6fo@8. ollhc Mrt i{ *ni.h lhlr t'.mil i. iri!.d. t dlllml.n{,Lytny p.m, in.nyMc
<br />r s k' troc rlrln h $. *riEi @,W{r.n hu otc.litnd, .,!d .aG q rf I rbtld td.r obFi io IIE
<br />mrtsi onqtdbn Fo6nr of SdlM l7m 6l E tru Co&. 1 trll lrrhnrh F691, Yan dE FowbE
<br />t
<br />IIcutADag
<br />I lEEby.,lm udd dhyof p..Jury th.r I M lE n d ud.r Fo6bo of clq*a I (6ffid, * h
<br />of 0E Bll'llE rn Pmft{nD Cod.. sn Ey ltG i! d tull 6G .i .lkd.
<br />b S/qb r
<br />5l>[tq
<br />I hdlty rlrm urdd F!I, oftciuy.lll lhq! i. . odrdir bn6a .ttriy lt. UE poent'E ofoE
<br />rr.d ts-. ,oc7. civ. c ).
<br />AIIIJSAUI.I&CIISAIIO!
<br />I hadry.fm !id( pdrh, otpdjlr, oE of th. ftrlhwtnr d.cLdhill
<br />I}nnlno. trtDrlAdEid fhif'd.n l.d6rl ,cglLrbd (Trk a0. Pd6)
<br />-R.qur.d
<br />t 116of M'rifn|hn
<br />-l
<br />€rlt 5 E H.nl Erulri.B rqldry dt ddllmrrlebrqDlslttbfilPmFt
<br />I .gE 16 oni'ly xrn il cily !.n cNny
<br />ddmEd !.n Sr.t. bE EkrB r. hl dr
<br />trhn. hrrr('mlBrI.ny i)r rnsrdk'n
<br />App[.ur or atdr sunrlur.:
<br />P...nln..E(Pn!.)
<br />t'''"""::."'u[ilfi-^-
<br />Fill Line/Back Flow
<br />a.,,,.'.,.. (
<br />l.rnd r AddE:
<br />-
<br />\u
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