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PLUMBING.INSPECTOR BECORD
<br />APPROVALS DATE ID/SIG.COMMENTS o\\ \t,R Bl t)t..R Lt, t ( \k \ I Irl\
<br />I tE cb, .mrm undd Fnrlry or p.riry thtl I d crcng lmn rtE Corrdtur' Licne L5* tut rlE aolh*in! @h. is't'7011'5
<br />surircss rn tu,f.$ir. Cdc): Any Cny o. Couily which Eautc* ! lEmi lo omer. .Xn irprcv.. d.mli\h or EFn in,
<br />slMl!rc, rq ro ilr n.rlffi.. lle Ea!@! ltE $?li.d for sh Frml lo fik a riln d n.icm lhdl lt o, slE i! lian!.n pB$r'
<br />r' rlE r,lvisions of 0E Co.mlols Lilned t w ((:h.pr.r 9, Colmd.8 wilfi Sathn 7000 of Divisbn I ol rhc Busirc$ .nd
<br />Pref.shnr Cndc) or lhrl h..rshc is.rcnfl thtrnom.nd lh. tdn tur rtr.lk8.d d.oplion. A.v viohrionofSelbnT0ll.Sbvtnv
<br />spnli.ur for ! D.rBil obJt k th. .mliclnl lo ! .iril }.tull y nr Bn mrc filn fiuc hundFd dollss (15@)
<br />,.r\oskrolrhcpmpcnr,ornryc'ntloFeswirhs'S.\r\rh.nq,bcomrn\arir.silld.lhc*rkr rh.{dri\ n
<br />rr.nd& or ollcrcil ror slc ( Ss.. 70+{. Ilurint$ rd Pn'rcsrhnr (:dc Tht Conktur, s l-iftn* bw dmr nor {'dv b 'n owEr oi
<br />rhc pnrpcn, shr t{ilds or ir4nrs rh.mn. m, trho d,E\ \sh wort hm\cllor h.r{lto' rhnru8h hF or lrcr osn.mln'}Es.
<br />lrfl,!'dcd rhrr such i'npfl,vdftn( m B, id.'rdcd or ollldl nn \'b ll lxNcs. rh. toihir3 or iq,mEmnt t $ld wirhid rm )td
<br />olco'IllLri,n. rh. Osmr lltrilftr will h{v. !h. ttrnlcn ol tn,ling rhd tEot$c dil mr torll or rf,ruh rh. pn'ttnv ltr rlt IUrIrrt 'f
<br />-t.
<br />rso*'r'ofrh.td)pcny. !mcx.ln\ivcl)-.ontlctnrS Nirh licctr\.J rniki.t \i{, !rnr{d.r rh( IroFlr (S.c 7Ol'1. Budms
<br />alrl Pil'Lxrir Oxlc -l hc Coirrtctni s l,iccn{ l-sw d,r\ nor rPpl! n, rn os trd of J,ror!.nv sho hr ilds or nnPr'ra\ rhdsn'
<br />otr who c.nt cNlorsuchprcJccr wirhrcuntrdon!)liccn\cJ Pucu r k,lh.arita.ktr s Li(cnt ljs)
<br />-t
<br />.nc(dpr und.r Sel
<br />Dl'bz-za
<br />DTTUdBAIIO!
<br />I trrchy arnmund.r Fn,lrt of,'crjury nne nrrhc roll,'qin! dc(1l6rt]n\
<br />I hlvc iinrill nui'nrin rCcnrlrlrcofCon\cnr k, S.ll ln'urcntr tr o*s\ .otrrt)ctrql,on. u\ Providd ntr hvS'.rnr l7lnnl rh'
<br />lrhrC,rlc, ntrrhc p!.lornuic. olrh. qo in trhih rtu lrcni n s\ucd
<br />Ihrrcs *illnrir 0irr s.rkcrl $n,pLn\ rn nFur.ftc.arrqundhyS.!ri.nl7(x)of(hckhrtrCodclnrh.p'rlonruRcol
<br />rhc lork lin shi.hrhis p.nnir i\ t\ki M y solt.n' con{*n\rr ion in\uhnec cani.rrldlt,li.t nunrbd {c:
<br />hnicy Ntrmh(r:-t,Pnd\
<br />-l
<br />enify rhl! in rhe llc{o.rorc. ot rlE *ork for *hth rhir Frmil n nrkd. I slBll nor enPlov anv pcmn in ov m'ffi
<br />a !s ro li$m rubj€l lo lh. wdk .'cot{Ensdrior hw\ of Califomis. .ri oa@ rhd ir I dbuld t'ccom suhFtr lo llt
<br />*oAcB' omFrsl i.n pbvisi.N of Serion l?m 6a t llbor cd.. I slEtl. rodhwirh mnplv *irh llsc lmvisions
<br />f
<br />WARNINC Fdilutc k, sut workcr' co"{..srion slmBc i! unli*tu!. und shlll slbj.Yr .r cmploF lo oimml lrulh snd
<br />.i!il fincs up ro otu hundEd lturu\lnd d.llah (Sll{).lXXJl. in rddiri(ih rh. cost ol omFNrim, dlm8ri it pmvnn for rhc
<br />S(ltn 3076 of rhe LrEr Cd.. inleEd o<!.nrEy s fs.
<br />nnD L.2D n **,
<br />uirL &u&!
<br />I hdrchy rilin undcr Fnalry uf!.rru.y rh lrmlicctra{u.rFovisi()n.lCheprd9(.onrnEncin!sirhSe..rion?(XI)}ort)'vni'n1
<br />.f rhc Bu\im$ r.d Pmfcsion\ Codc. drl myliccne i\ in,ull fur.. rtxl.lfc(r
<br />l-i.cnrc Ntnrlf,r
<br />l!}NiI8JJstraN.LEBDlSli-Agr'NCI
<br />I hcrby dIm mdd FMlry of Dcriury rhd ihdr n a snntuc1i,. bini.S rS.mv for rlE pdfoMc of itt *ort for sltth lhir rmn ir
<br />nsd (ss.:1m7, civ c ).
<br />L.ndfl'\ Ad'lrt{
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<br />,\Ittt tc,\N f Dt-rl ,rRA Il()N
<br />I l[ruhyrnn run,lrrl[irlr!',1 n.rltrr!oi.rl rh.l'nk)rtr,9dr.hrxrtrtrtr
<br />I)r1Nl'rL l'cnn \ A\hr{o\Norlli.!trnl fcLl.rxl R(su!nil$\1lil.10. l' r6l
<br />R.qtr !.!l lirl.rol Norltdir
<br />-l
<br />ccnrryrhd rh. Ldcrul rcslhrn ns EBrdinB ldEslo\ rc.('v0l!t. nor lt'PltrbL b rhis !ror..r
<br />I anifyrhrr I tiv. ft{rl rhi\ 0!pli.!r nn, rid { h rhd rhc itrvc 'nhnm 'onscorccr I rgrtr tr snnl, *illi allcn, lnd CounrY
<br />llhk Cn, Md Countylo cnls uF). rlE
<br />o,.,a ( OZ'?a)
<br />ordinlmc\ and Sr.rc tiws Eutitr8 lo li! ilding .on Pld,Ya ho.it Erccri.ri{d o
<br />rh*r nrmi,nri lrreprnyntr ihPccr
<br />Applic$nl or AEenl Sisnat
<br />11 t47o^// t)
<br />(
<br />lz./nyo'
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildino Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipinq
<br />Roof Drain
<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 />Rouqh Plumbinq
<br />Final Gas Test ^r//\
<br />FINAL G'-9"/h hl4fl
<br />Notes, Remarks, Etc
<br />Tub/Shower Test
<br />Meter Release
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