PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDEF GROUND
<br />Waste & Vent
<br />WaterUnder lloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouoh 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
<br />Meter Release
<br />FINAL 1247-/0 ,/*{"ti GD
<br />Notes, Remarks, Etc.
<br />OWNIiR BUILDER DEI,CARATION
<br />I !.r-hy rll"m ods pcmlrr .)r lfrrnry rid I m qcnF fDm rhc Q' trfuF Lk.nr la* r,tr 'tr nnhf,inS rcr$n ls( 7o.l l 5
<br />Bunnrsi ad Proturno. Cnl.): Any Cn, or Cornry *hth equm! 0 Fft'l ro moslmr. !116, imrot. &mlBh or tFn lny
<br />(81m,,,r,n'{3 n\un.. rl$ ErruEi rh. qDli1 nn \rhFmilro iiL. lsncrl {d.r
<br />'hd
<br />lior {r i lk.ns.rl nldllrnl
<br />ro
<br />'h( Fmrrion\ or'h. c'ont.crtr r Lic.n<n liw (CndFrn 9, CrmmBrn8 rirt S.cik'n 70(x, or Dilnaon l.r ih. au$ncs dnd
<br />PoLsi'i\Cod.)o,rh.tlEit{rrtrcrcip lrdxrnudrh.t!.n\forrh.:lkgdcr.frprb.,/\,,$I,'ion.rSdir7{}.llSbyriy
<br />ipt'lu ntrjIEm ixhi{h rrF r,'plicinrlo!.ivilFnlliy l*, mr.rhnn fiv. hunlrd dollTr ISJ{x,)
<br />-1.
<br />r, owM of dE Fopdlr. d ny.rplo)G rirh mgd d tn.i -h @tr!.Naion. u! & dE kl rl.l rl! rrBic b rx
<br />ido6 or oftEd fo. rl. (5e.?04 BuriB ]d ProtsbIl Cdc: Tlt Con rrd! L,i.!e L* &.r ln Tply L e orE 6l
<br />tlrpoodr, rlh hddt n irlrlc rlEii! rn lvllo dc aldr wrt hlmltor lEclf d tlFqn hir d hd ou.'ql,ys
<br />FDviLd tlut *h mForcrE* e d irddcd rofird 6. nl. It hoEE tll hnldng r lq.oElr t -! *n m Foforllrilr d! OrE Elilb ril lrE 0E hnbr ofpott ln. lr d ilE da Dr boiLl d irF.c dE ,roFiy &i dE FlFr ol
<br />l.n\o{'f,rnfihrF,pcny,x'n(clunvcly(rdd!!ihl,ccn{J.oitnhhn, trdrucrIlIpmFr(Scc ?(}tl.llo\i"cs
<br />trBl lh,lsirx(i!lc lhcC$ntr.ntr'\ I n.nr Lar',1,E\.d fllvt, inn$nd ol px,IEd! {lxr hurlJr o n{n{tl rh.ron.
<br />lntl *h .otrrarr5fttr\u.hnr(!.ds*nh!(i nri.r)(\rli.( <d pur\xtrf n) rh( (-rr rr(!tr'sl.hrn€lj$)
<br />7#pa d- LQ,.+-
<br />]}a&ir<uull:rtalla!Ut;lLl&lM
<br />I lt'.hr trlli,nr tr tr[' trrrlr) ol F-.UUrvoN ol rh. l,'li,{ nS n.([r.trkr
<br />-l
<br />hNc onl *ill ruinhin 0 Gn iarsrc ol G'ns ro S.lf ln{rrctuuortol .on{xnu6n, rs Fovccd ror by S*rhi l7(O o, rlt
<br />Llhr Cc$. rd llE FfmN of rh * t lo ttth llE trmn i( (rud
<br />-l n!G.d will tuinui, mrtd .o.Fcd.tbn i@ltc. a Gqsilil b, Serh lrlD otdE rrbor Cod.. 6r dr Fhtrlc ol
<br />rh! c,trl l,n \h'.h rhn pliin ,\ trs{r! il, sdtr^' (hp.mnrrtr ,nunnrc.trr'n rlli'lrJ_ ntrn rr .eF
<br />llrrlq t/vnl C.Et/Ca-P4t
<br />)U
<br />-l
<br />diry dd in 'lr FrformE ol r rort for *hih fiir Fnn is trEd. I snoll tui .nCloy J\ llr!{' tr'.r\ n,m^.'r
<br />w, r\t,lld r shi.r h r hr. sorlcn (nrFnluri(o h*\.1( rlii({trik. rmlr[n'. rh!! il l\h.uld tr{u]r \!tr.r ki rhc
<br />*o,lr\' .omFnr 0n ntr{ Lx,nr or Sftrri :17(xr .l rlr ljhtr ctrl.. I \hnll. nni htr [h .r',nd] r irn th's t'fin nr,trs
<br />lV/tL!il\(; l.ihtrc n, {(Lr.rn'k.^ i nI(f,rrri'tr, i.\.i'!. ,\ n l.'tr1,n. rntl \hrll .uhr\r Jr. {loru n, (r nnJl
<br />rnrl lirtr\ up n, '{* htrDd'e,l rhou.0tr(l,i,ll3r r(1rxr(xxr) x,l lIkr r,, rhc .,^r ol(,nntri\trr(n,.,l.nu!c\ J\ 1""
<br />S6rbtr !076otllE t Dd C.d.. inl.Errn,hftv r f...>* AlQIlf ^w, losq* &,,"----z--
<br />l/ t-T- " r rinsin curvrrrcrrrr
<br />DECLXATtOd
<br />I h.E'by uilim u .r n ndlry or F4ury lh l um lier*l u.d.. tmririon ol ChrPls q (c.mntdi.s wirh SNarn TmJ r or Dirnl'n l
<br />of UE Brira\ ..d lt,f.sbnr Cddc. !n 6y la.M n in tu ftr( !,n .onl q ?uo
<br />tZ'ctt/ u^,^"* kua4tl\c1_ (+a o^%:,-*o
<br />glttrBu1:!0NlJNl)!!$itiEd$r
<br />I rEEby r,rtrn lnLr FMlly or F.jury lhc lhdr tr . onieran tndi.s rlcNy ror tL FfolrrEn! ot rh rsr ror dah ttn Fhi ir
<br />issu.d (s( l(})7, cir c ,.
<br />Affu(lxull:clJ8AlM!
<br />I [nt, lnflurlcr Fnaxy oI p.rlurr_ om dlrh.l'oll,,*hB dalarxr0n\
<br />D.d,hDn P.rn \ Arhcsk,l Ndif(.r$n fcrl.lll Rr8ular hnl lTnlc .10. P.n6)
<br />Itcrtutr.rl lr d or Mlar(rnr
<br />-l
<br />.rrif, rhr lli f.d.rrl EloLrb6 G!3dir! r$.no. llDul G Dr .prlt.6k lo lnn pmjal
<br />-J
<br />.qii(y rhr I ltc pd rhi .ppli..don an rltl. ftn dE rtDE irforrdi,. i! .1"rEr. I {re k' o,rpry rirh .ll Cil, .ri Cou ,.idiuxg d Sl.l. LrB EhiU ro hildhs onrru.lbtr rd hftb, rulhori, Etr*,r.liw, otuhi. Cty .!ld Cou,ty lo .rrs l4.n dr
<br />lboE mn'nn d pnrFny for hrFclion
<br />l:rrr.ut o. armr srsrruE fu,rrr-'--^,,, 214!?
<br />I
<br />I
<br />I
<br />I +
|