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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/srG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />EXPIF IED
<br />Rough Plumbing
<br />Final Gas Test FEBOI z0l9
<br />Meter Release iAhra A-1't ,o
<br />Notes, Remarks, Etc.
<br />Ohd-Builrk Dcl.r i@
<br />I hatly .ffim s<k p6dty ol Fjury ttat ! m ddpt fffi lll. C6r'*im' Li6.. tiw fd th. follo*ing Elor Ge ,03 t 5 Bqin4
<br />a.l Prcfdi@ Cod.) Ary Cig d C.uty wlti.h EquiB ! p<mil io c@tucl. .ltq, imprcvc d.@lbt d Ep.t ay $n&nrc Fi6 ro itt
<br />iir@c., rls nqui6 th. crpliMl fd ruh pqmi lo 61.. riF.d trlrqEt lhrr h. d !h. is li@.d p{Buet ro rhc Foviri@ of {r!
<br />C@E da's Li@.d t- (Ch.ptd 9, ColllEcila yirt sc.li@ 7000 of Dili.id I of thc Baina md ltofaiG Cod.) 6 Oar h. a
<br />rlr. ir doPt $@tm ed thc bais fd dE .ll.8.d cxanFid .Ary trol.rior of sdj@ 703 l. J by uy qpliqt fd r Frn lubjdi $c
<br />.ppli@l ro . .ivil po.lry ofnd ll@ lhu liw hrdld &lla (1500),
<br />_La (Ma of drc Floaty,6 ny anDloy6 aith,.ga a lhcir elc c6pa!.iio. eill <b lh. r6t Dd t rE!.nfr i! rcri.radd
<br />s or6!d t6 rdc ( 56,oar, BBin6 r'<l PDfdi@ Co&i Th. Cc .&r..! Licae tn dod.<..ppl,1o & oma of th. Fqdty
<br />pho b{il& d imFoE It'a6, &d rho dd iEn rdt hinB.lf q hclclf d drouah hir G hq (m @ployc.!, prcvidd rh.l tuch
<br />ihFev@68 e nori ad.d 6 ofaql f6 r.1.. If, [Mva, $. htildi!8 d imFlvgMt i! $ld *irhin @,@of tuplaio, $.
<br />Owna-Build.i -ill h!v. lh. bq.b of pFvi.g th.t t! d $! not hild 6 imFwc f6 lh. puF.. of 3d.).
<br />_I, a ffi of lllc Fopqq, e q.laiEly @trEriiS ii$ li@..d @r.alo6 ro olrtucr lhc Foid ( Se. 7044, Bqin6 &d
<br />PrDf6i@ C.d.: ft. Co.Edor'r Licle t:w do6 lot @rl, ro e our of !.oFr, who bril& d inprcv6 $aa , bd wno
<br />6E-r fd Mh Foi.dt *irtt r CdE&ro(r) Ii6!.rl purludi i. th. C@rr&rd'r Li@* L.w.).
<br />_l I .xdpr 6dF Seri6 _,B & P C. fc lnis @m.
<br />I{Of, KEITS COMPENSATION Df, CLARATION
<br />I h@by alfim u.dr Fnalty ofFrjury onc oatnc followin8 &.ldioN
<br />_l lt.E 6d eill mliruir . Cqnilidc of C@an !o S.lf-ltum fq *ort6' c6p6!udd, s Fovi&d fd by Sads 37m ofd.
<br />L!b6 C!d., fc lh. Ffdfue of li. *dl fn whid $. Fmit i3 i$!ad.
<br />_I hw. od pillruinl3io rdl*' con!a!!.rid itu6.., { Equnld by Setion 3700 of th. rrbtr Cod., fq 1Il. tqfafue of rh.voi fd vticl tib Fmir i! isu.d My wot@ c6pa!.ri@ iN[@e 6ia ed policy imb6 e:
<br />(Thii sedd ned nor h. cmpl.rcd if thc Fhn n lc On. huntu dolla {SIOO} Gld)
<br />_l cadly $.1 in tbc Ffm&@ of rhc wdk fd whi.[ tbis Fmir i! isu.4 I rhall not mploy ny ,mn in ny l@nd so s bbc!ft iubjd Io d'c adld ' cdnFtudid ler or c.lir@ir sd.88 thlr if I lnqE beqft bj4l lo $. wat6'
<br />@hpaE ri6 prcvisiw of S6rio 3700 ortc LSa Cod.,I.ldl, fd0'aib 6!ply *ith th@ F@isi@..
<br />WAXLING: lr.ilN to GE *ot6' 6nFurd@ @vqlrc i5 ul.wftl, ud sh.ll rubj.o 3 aplqyd ro oiminrl padri6 sd civil
<br />fii6 up io tu hrn(td 6@ud doll6 (l loo,ooo),in dlirio to Oc 6t orcmpo!.ri6, datg6 s Fovi.Ld f6 rh. s..tio 30?6 of
<br />Uc lrDd Cod., i aBr &d ard.yt t6
<br />LICENSED CO!{TRACAOTS I'ECIARAAION
<br />I h@ty .fEE 6tLr padty of Fi!.y ihlt I a li@.d @d.r Foviii6 of cl'.pi' 9 (cffi6ci"g eirh s.crior 7@0) of Dririo I oI
<br />0'. Bwias od Pofdim Co&, 6d m, licdc ir in 6nl fo@ ud .Iiet
<br />1'- z" ./o /
<br />CgN BUqDONIINDIICICflCI
<br />I t@by .fiim un<Lr F.lt, 6f pajtry {h r[@ b a.dirlcrid ldding.96c, fd Uc paftu of rhc wrt fq whiclt 0!k pamit it
<br />iaucd (Se. 3097. Civ. c ).
<br />AIT|JCANS!.DECIAaAION
<br />Danolirid P@in-&b61d N.nifi.llim !.dd.l LGSul.ti (Tidc ao, P.n 6)
<br />_n qunld ranc ot Nori6cli6
<br />_l enjry th.r th. f.d6.l Egul.ri@ EgnlinS $bdr6 GtM.l e nor !9plic.bl. ro rha Fojc.r.
<br />_ I c6dry rhn I h.v. 6d lhii .ppliclrid ed rr!1. lhll rh. .bovc infdnrri@ ir qdr!.t I .BE ro conply eidr .ll Ciry 6d C.mry
<br />odiM6 ad Sta. kwt El.drt ro boildin8 6!fudi6, ud hdb, &t[Giz Ep6ardivd ol rhi! Ciry sd Coury !o dl6 upd th.
<br />!tov. tMti6.d FoFty fd i Fcri6 prF.6.
<br />O 6
<br />I
<br />lnsDe.ltonFo.fts 03.31.06
<br />Back Flow Device
<br />FINAL
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