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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building 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 />Rough Water Heater <br />POOL/SPA <br />P{rap/Drain Line <br />lvlain Drain/Pool Piping <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 Felease <br />FINAL 12-/?-2 /.k{r,b '@ <br />Notes, Remarks, Etc. <br />OWNER BUILDrI DEI,C' R.ATION <br />I tEruby tr,liro rdtd Fnlhy dr r.tuy rhd I m ckn{'! rbf, rhr (i, dio^ t-k.n\. Lxq ror rh. loltrwiry rce$n (Sc-70.!l I <br />tturimrs .d ,tdc$n. Crn): Any Cii] or Crrry wh(h r.rturB r Fml lo .a,trnntl. .ns. irfmw. &mlkh or qir My <br />rrEdurc. Fior r(, ils nnrmc. d$ r$irc\rhclpflcul tu. sunFrmir t, fiLa risNri drr.nrnr rhd tEor rhc ir lt.nEn pur rnr <br />h rlt E lni,nr ol rrr (i,ntldkr! Lkdnkn tj* r('hip!.r 9, ConmE rn8 r t Ssrkrn 7t0 o{ Dri.ion .l nful[ lruliml\ md <br />P(rc{rionr cdl.) or rhd h.oslE r.rcn rlEcl(, adlltlnssfirh. ks.n crci{,ri,r. An!ri,ld]nnrsdirn?0115I'yony <br />upplir{trr ktrnpcm \lhl.rls rh. ltplice.r tr,.irilttMlryofiot nrft rh!. n!. hxnrlrul doll!6llStn) <br />-1. <br />s (ftr of dE F,Frly. d nycnploJ6. ,hn w.r6 B lt.! sL @ipanbn. *i[&, tlr wt.d tll dtre h br <br />i.r<xt <! d of.rd ror $lc (S(.704a. Bu!i6. xd PDf..'bN Cn&r TIE ColrrErn! Li!@ lt* &Ei tur .Pp, lo e o*E or <br />rlEFFry *l'o hil& G i'g.E rlEBr !n rfio.tE $dr kt li@lf d lEclf d rhsllt ln. d lEr os.rpt rE* <br />Fovi.bd rh.r .h intio!4fi.c m itr.n.it ftoflaltd ror sL.ll,lbr.E.0r loildlu 6 hV.NGr{ ir Eld v htnom Fr <br />otonp|Gli& tlE olrE tu b *i[ h.E th. hrrbr olFon'! rL lE q JE da tur b.Ul 6 inlec dE Fo0dr, tlr dE F!po. of <br />_1, xrowErolrlr I'r{tnr. a.r.lfiiv.lr.odrarin8 wirh li.nrn o rerouro Ntr(ur rlE,n,r{r ISN 7(},r. BorFr <br />{ PFturM Codc The Conl.0croi r Liccnsc l-!* d.ct not amly r,) o o*ns o, polsrry uho buildr or ino(N$ 'hs.ntr,!d $lxr $nrRGr(trruhFFdrr h.G) d.nn hdrd pu6d t' rhc Cidr&lm'i li.nE lrr, <br />_l rn.kmpl u,n t Srrbn- A. & P c' fd lhn c&nq'P ll4& ttltt u- {-. (-/t-C- <br />lrlraf,lll:rauI}:rrtftl!!lllclllllllll)! <br />I lEEty rmrn !'xt.r FdI, oa Firy om ottlE foltJaing &cL.lli'B <br />-l <br />bE.,'d will midthrc.nia..r. of ClE ro S.r'ln!m lr *dtd erFBlin I FlviLd lbr hytuiorrr0oof llt <br />l,td C.dc. f6 U. Ff-lrc of dE kr la efiid' llE pqDi n iarld <br />_l hr! ,xl sl ll ru hr.in $ orksa ooFnrlrbn itr\unrc. !\ ,qurcd by s(r.n :17(tr ol rh. tjlrtr GxL. ln. rh. pcnn.nuLr of <br />rh. srk lir whthrntrErn rr ir{rn M, *orlsr' compcrsrion inurftc ori.r rn Frlf,y numh.r e. <br />ctE blr irtrLb1It <br />-l.cnify <br />lld ir tlE lErlormm oalh. *orl td vhih fii. Frmi ir KU.d. I rn U ml crit, ritFm. in u, lME <br />s ,. ro b.oE {bir! !o rlr rdtq. @8p.nd io. hrr ol Cdifomn. .,rd {B lhn if I nbuld beom .ubi{r lo tlE <br />mn6 oqEner iotr pFviri,B of S.dix lrfl) of rhc lrto qd.. l rblL lonlrwhh onpry rnn rL* Fnvi.i,B . <br />NAININ(i l.nilu,. n, s u,r sork.r' ro ,F-n\!r ion .or rr(3. i\ unhr lul. r'r, \htrll {rhltd rn .nltlk)hr !' triNDl Ftul, B lnd <br />.r,l finr\ trp r, ork trndr.J rhou{nd ilolh^ rllu).rxxrr. 'n dd (r n) rhc ..n ol .!.nl(trqrtr)n. Jnn!8c\ r\ pntrilLal ntr ihc <br />S(rk'n.r176 ol rh.lrhn (ixlc. inr.r{ nd innn.t'\ frc. <br />7"4al o ^,w,, ,wgtotf kt*( I l-lcE'^l\F, colYrtl('rur <br />DECIAEAIXXI <br />I h(rhydlnm unJ.r p.nllryi,t Frjurt Ihd I ur lrcNrl und.r Jtrlrrnk,nrl Chn| s q (onnBmios sirh !i$rbn 7(xtlrotDri.x,n ] <br />ot rhc ltu\im\l!n Pnnt$r,.\(ixlc. I nrr liccn{ i\ i',llllr'rc ei.rlrr <br />bul'{*c"",,*,o, 1fu4-hC.e elf'G L.\l1tl* QN <br />ll)rl.tBrlrllrlrlj:ul)!;-llil.!(l <br />I lEBny .rfim unds Ftrllry oI perjury rh,r rhcn n . od(Mrhi !idi& aB.ay tor ihc Frfomtr^r of lll snrk nr wnkh init Fir i\ <br />isEn rsd l0!,?. civ. c.r. <br />AITI.ICAIILIIEIIJIAIITId <br />I hott'y .Lm lndcr Fmlry of FIlry oE of rlr folhrins &{bdbn. <br />Efr'lilhtr P.nnilr.AstErlos fhifisliotr tu r.l RcrlhifilTnb4)- Pln6) <br />-R.quiEd <br />lrtd of ftolifrrrhn <br />-t <br />cntiat rh.r rlE fcn d EllLrla rcrrdin! ub.rld llmnl m ml {,rlicik lo thlr FDFr <br />$ oiDly siln .[ Cny !'n Counly <br />f lhn Cny .d Cou , lo cnl6 l{nn llE <br />l\.'rr\rl'. lh.n.,ntrlni.rft,ltr. Li'.rl{.(rh,irlr.,llir\ trrLr ririLr.!ft1r lrllrr <br />44" <br />t <br />I <br />I <br />-l- <br />-,**n",*,,-@lTZlb <br />L...ls r AddEr <br />Ii,rnkr\.tr(l sr. . l.tr\\ (.Iru,( r <br />rhn. rnr L .Ll tr)t,(rrr nn <br /> Dpllu orArctrlSllMluF: <br />Wc-ltl Let-- <br />tt <br />=