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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS Osn6-Build.. DcbErio
<br />I h@ty !fim 6d!r F .lty of pdjury tnc I m doF fm lh. c6Er.i6' Li6r tlw rn rh. aollwinS B@ Gc.70l I 5 Budnq
<br />ed Pofeid Co&): Ary Ciry tr Cdoty *hict Equi6 . FEit to c@ErE! .lta, iDprDvG, dqnolill d rcprn oy lEucr4, ria; $
<br />i'.@c., d& Equi6 lhc rr'pli6l fd Mh Fhn lo fi1. ! d8D!d n&mqlt lnlI h. r tlE b li@&d ,{ll!et to $c Foviti@ of 0!G
<br />coft..rdl U6!cd r5 (ch.Ptd q cdnErirs with S.di6 70oo of Divtuid I of rh. Buiid ad PrcfBi@. Cod.) d lhd hG d
<br />tlE q qary $Gn@ &d th! bd! fa ltc dlc8.d aoFi6.Ary violdio of scdd 70!l 5 by &ty +fli6t fq. pamir 3ubj..a dc
<br />qpli@t ro . civil F dry ofn.r frar. d- fir! hlddld &,lls (3500)
<br />_1, a oM* of thc p.oFty, d m, crployd ailh r.86 a thcir rol. qsnF$rion, will.lo lh! *Et ud tt. fi!.i@ i! nd i ad.d
<br />d otr Ed lr !d. ( Se ?04a. luin6 8d Prcf6i@ C.d.: Th. CnF&!o.'r Li.tu. trw rtE nd lrply ro e oma of $. Flp.ny
<br />who buil.k q iEFovd d!@, od *Io &€ tab wdi hi@lf s hd.lf d thesn hii d ha dn arploy6, Fovidd thd ru.t
<br />imprcv@@B & nor i.r.nd!d d of...d fd 3.1. If, h@!rd, tt. buildins or inFlvmnr i $ld *itnin on. ya of @pl.ri6, lh.
<br />Om6'Build.r will h.v. lh. hr.da of proving {r!l h. or 3h. nol b{ilrt c inFov! 16 thc porFr. orul.).
<br />*1. s om6 of 6. PilFry, 6 dcluiv.ly cmE!.tiig wilh li6!.d @!rd6 lo cdlmrl UG Fojcr ( Se. 70a4. Buitrs sd
<br />Prcfsio Cod.: Th. CdE dd'r U6!. kq doq nd .rply !o s oMd of FlFry ,ho b!il& r imFo6 rhaw , rd *ho
<br />6t .l! fc luch FljEr. wirh . con!r.lo(, lic4d p'l!!@r ro rh. ConE .-id! Li6!. bw.).
<br />_l m d6pr ud6 Serion
<br />WOII<ERII COM}ENSAI:ON DTCLARAION
<br />I h@by afiim udd Fndty ofpsjur, 6r of6. follNinB dlds.dom:
<br />_l h8! ad sill @intlin ! C!nili..r. of CorHr to Sclf-ldw fd *atd' @mr.Nrlim, s pmvi<ld fr by Scri6 3700 ofrhc
<br />L6or Codc, f* Ihc Ffd]rwe of rh. wort adwl ch rhc Fnir it .serl
<br />_l hrv. od *ill minllin w6t6' MFa.i6 iMc., s cquir.d by S4ti6 3?0o oatt. t bo Cod., fd ih. pdftu@ of lhc
<br />wdt fd which Iht F,ni n iBucd My m'I6' c@pa!.ri@ iuume @i6 ed polic, nmb6 e:
<br />Policy Nmb.r EtPic:
<br />Grri. tetim icd nor b. 6tpLr.d if th. Fni t rn OE i@&!d .lollE! {5loo} d I*)
<br />_l cadry {'ar in drc pdfmacc of dr *o* ra which thk Fmir it i$E( I rhdl .or opl.r dy lElu in ey lMnd $ ! bbelc tubjd lo O. wd6 ' 6rp.N!tio. l.B of c.lifhir, ud rsE $.r ir I lhodd beorE &bj@r to tnc eatd'
<br />cmp.N.li6 povisid3 of S..ri@ 3700 of dic kbq Cod., I rh.ll, falhwith c$ply wirh thG Fovilioi..
<br />WAINING. r.il@ to c@ wdr6' .dnF&Iim @v6.s. ir uhwtul, ad sndl $bjcl o dplord ro oinii.l FElti6 od civit
<br />finq u9 to o. to&!d Ool@d &lla (S 100,000),in lddirid io ri. .6r of cdnpot!.tj@. dan s6 s rrovidcd for rhc Sani@ 3076 of
<br />rh. t bd cod., inEan ed rn@cr! f6.
<br />LICENSED CONTN CTONS DDCLAi AION
<br />I hdly .ffim 6d.. F.lt, of FiE, thd I e li€s.d u.d.r !rcvitid of Otlprd 9 (cffisEirg wilt S.dj@ Tooo) of Divirio 3 of
<br />$c BaitrB ud pEfeid Cod., ud my lic c tu in tull f(fu o.l cfi.cr.
<br />OOI{IiIAUC'TIOI{ LE'IDING AGINCIY
<br />r t.'tU, .mm ud6 !a.lt, of FjE, ihr lh@ i! r cllitucial lrodlry r8aE, ra lt. Frdn!.@ of lh. Et fa rhid Oi, Fndi it
<br />iru.d (scc. 3007, Civ. C).
<br />ATIIJCANII.DEC,IdMITAtr
<br />DqDIido ?@i!-A!b6td Notiti.n a lcd.nl R.Bdni@ (Tid. 40, Po! 6)
<br />_ R.qun d r,ilEof No.ific.rio.t
<br />_I cdiry th.r tr. fdarl E8ulni@ G8adilr at6t6 Emrd e no. lpplicrllc to $ir Foj..i
<br />_ t 6dfy lh.r I ttE lad $i. qlic.rio .rd .Elc td thc $oE irtdtrIli6 i. cdrld- I .tE to @Dply win dl Cir, rd Colxr,
<br />ddia6 Dd $a! Le El.tiry to bsjldint cdEtfl.tio, rad hotby olnort 't?(t.3tdiv.r of lhn CiB nd C4rtI b an upor ltc
<br />tlorc lEriocd Fqaty fd idpcti@ F rpora.
<br />/
<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 />TubiShower 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 />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />EvD ctEtr
<br />Rough Plumbing
<br />Final Gas Test FEB N t znr
<br />Meter Release
<br />oAMU o,c!r, i rw, 5c6, 66
<br />FINAL
<br />Notes, Remarks, Etc.
<br />Word\wps1 \Fo.rnsPemit.-lnspectton dms 03.31.06
<br />Misc
<br />t ia'. Add6' _
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