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PLUMBING-INSPECTOR HECORD
<br />olvNt,tR trtill-l)llR Dltl.( aRA l ()N
<br />Dnsioc$ md lrol.\sn (irtc)r Aiy Cily or (inn , which
<br />'cquircs
<br />I lErrir n,.on{ru.i. alrcr. iflr[o\c dc Flish or rc'jlir mv
<br />\rru.rur.. l,itr h ir\ rlrurDcc. rl{i rcqrn \ rht llflrint f \u.l P(rmir t' lilcr ri8tcd (l.Nnr rhxr hcor shc i\ liccr\cd Nr\unr
<br />b rtu [rvisi.n\ ol rl* cont..lot'( l,i.cn\cd liw l( hanrcr 9, Co nncrci08 wirh s..tnn 7(xn oi Divtion I ollrc Bu(ifcs trtrd
<br />rpflnrnr i)rrNn!ir suhjNr\ rlt rtfli.rnt h r.ivilpcDulryol ot nrncrhrtr rivc hutrdrcJdollrm (S5(x))
<br />-1.
<br />ai owmr ol rhe pmlrcny. d ny ctrlllort i wnh w!8.s I lhcn $k @EFnelion. will do d. wo.t .nd [r sm*nrc ic rcr
<br />inrdi.d or o,feEil for slc (Sa.7o4t. Busimss ed krfc$ioo. Crd.: AlE Corl6clois Licc.€ Las docs .ol arplv to r ownr of
<br />rn pmpcn, phb buikrc or irlmB rlEfttr rd who rL.* Bh wd( timsclf or hn*lf or lhmugl hil or hd own cn{IlovN..
<br />,rovacd $ar Mt inprc@nls m ml hlc'n n o, orotd for eh. lf. tp{E@. llE hilding or inprctE.r k eld wilhin orc ,tu
<br />or @"pLrhn. rh OeM Auil&r will haE llE hod.i ofrolitg th0r lE d sh. dA ml hlih or itpmE tne ImIElv for lh. PUtPo$ of
<br />l. asowmroflh. nmnsry. !ndr.lusiv.lyconrtoclins *irh liccn{d conhcto6 ro.o n{tuc' ih. pmj.Yl lsd 7044. Busims
<br />.d hoeisi, Cdh: Th. Co rstoas Lk.ns. ljw dcs nor lPPly p.ny wto builds or improlcsrhdcon.
<br />ror 1u.h pmj&1s wnh ! A,nrE.i(,n I I ro rhe conrrrcrols Lico{ bw).
<br />IIrII4-EAIXXI
<br />lcnixy oI tE.lury orc oa llr
<br />I hovc aid *illnsinreo a CcdirEolc otCo.snr ro scl,l.sxrc for wolkss
<br />tjbor Cdc. for lhc ,crf@c ol rhc wort for whkt lhc fimn is ksucd.
<br />r.. hv s.crion lTtD.lrhc
<br />,l hrvc trnd *ill naint.an workeu corycnsalion insuBE.. !r rcquiEd lty Sftrion 3?m of ttE kb.r Codt for tlE PerfoMc of
<br />lh. ptrI fot {tioh lhk pcnnn is hn cd. My sort6' .ooFndio. insuEft. ffic ad policy nunb.r @:
<br />-l
<br />enity rhrl i. thc penormtuc of lhc worr ror whhh rhis pcrmil is i3sucd t shall not cmllov anv IEBon in anv mo.r
<br />s N to h..om sllri*l to lh. workn'smFnsolion hws of Cdifomia. lnd asec rh,l ia l should t .oft slbi*t ro llE
<br />srkc6'compcnBlio.pbvhionsofSrcrionlT0OolrlEkhorC.dc.lshall.fonhwith.ontlywifi$.ephviions
<br />scrrc workcrs mmncnsolioo corcBsc i\ u bj.cl an cry)loyct ro coni,.l lEm[ics lnd
<br />ndrcd
<br />'houend
<br />doll{tr iSl(Il.fil()). in uddir nsarion. damgcs as providcd for rfic
<br />intcrc$ rnd ortomy.s lccs
<br />uxtl BAll0r
<br />Ih.r.i,ynlll'rutr or lt rlr\.ltNt,trr_ rhrrIur li&tr\cd u ,lcr lnovisi,n,ol (_hx d q (connncncnrg sirlr
<br />ol rltr llu\iNls MJ ltolc\siois Cuic. r nry licrd\. ir n llllhr.c itrrlcllicr
<br />CONSTNTJCToN LFNDTNE A(IFNCY
<br />I hcrcby ofilrn ondxr Fn0lr, ol pcrju,y rhd rh.rc h a con{dcrion kding ,Ccn.y l'or thc llcrfomn.c ol fic sork tot }hich rhis ,Ermil is
<br />isucd (Scc.3097. Civ. C.)
<br />Irnd.lc N!mc'-
<br />A.ETLICANLDESAEAIION
<br />I h.El,y onim und.' !i.ndll, oI pc4rtry.ic orrhc rollowin8 delonrion\:
<br />o.ftnnn P.rnih A$hcdol Norilication lcdclll Rcsuhn,.llTnlc 40. Pan6r
<br />RLatuircd L.lrcr.f NoriaKdion
<br />-l
<br />.cdiry rhar rh. f.ncrol Esuldioos e8rning e\i.slos Emvtl !rc mt .lrltable ro lhis prilt
<br />-l
<br />c.nify lnar I haE rcld rhh amlhdlion un sldc I inlomrion h cotut. I l8re lo onply Pnh !I Cil, and
<br />ID/SIG.COMMENTSAPPROVALSDATE
<br />UNDEH GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Buildino Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipinq
<br />Roof Drain
<br />Tub/Shower Test
<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 />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />,,t; r r,,,,,,,,,,,,,,,/r(a
<br />'22./FINAL TlltlLrt I7
<br />Notes, Remarks, Etc.>)ua'a-z Itxh4l/0 rl,o uq/* fa ) /L'? ttl
<br />LV
<br />ordinrmcs rnd Sr0lc Lrvs rcbring robuildingcofln aurhorizc rcorc*nbtircs of rhis City
<br />Gas-Underfloor
<br />IMbP
<br />Lrtr,h1 . ,Il'r*
<br />+
<br />I
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