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PLUMBING.INSPECTOR RECORD
<br />DATE COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />I nterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<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 E, T'K
<br />Back Flow Device
<br />Rough Plumbing :;,0tc 8,43. ?90
<br />Final Gas Test P IRED
<br />Meter Release
<br />FE I I ZOE
<br />FINAL
<br />Orno-Boil.t, Docllr.rid
<br />I hdt, dEm ud.r pardt, of Fjury thlr I m a6B form 6. Collnxror' u.qt* Lls f{ rh. roll@i.r ltBd (s7031.5 Bu.in6
<br />ad Pref@id Cod.): Aly City c C@!ty which Equir.! . pdmir ro cdlnucq 1116, imprcvc dqnolirh or rpri r.y rt !crG, Fio( ro io
<br />iBuucq al$ EquitE lt. ediol fd rEI Fmi !o fi|. tlignd lllldmr thll h. d rhc i.lie&.i ptur to lhc FDvilim of rhc
<br />Cdm.rd'3 UEa.d rr* (Crtrytd 9, ce|t6ciIs with Seti@ Tqlo of Dvi!@ , of lh. BrlB &d trcfdiG C.d.) r dt.l iG a
<br />dr ir danF lhdfrm 6d thc b6l f(r d|. .!.s.d qmFi@ .Ary violdi@ of S.djd 70! l. t by ey .ppli@i fa r pBnit 3lbjoca dt.
<br />spli@t to . civil Ftdy ofr.. lle tne 6rc hdxtld dollrn (Sr00).
<br />_L s oMs of ln. FlFty, or my mp,oy6 ei0' *.gc a th.ir &lc colDoarlion, will dc O. wot ed $. ltucrw i. nor inrad.d
<br />d ofiald fa !.1. ( Se 70{4 Boind dd PIofBiw C.d.: ft. Cdffi'. Lic@. ke d€ d ,{Dly to & oh6 01lh. F!Fr,
<br />wl'o blildi d imFE $.1q, md who &€ lEh *dI iitrs.lf tr to.lf d ln@gt hb 6 hd M anploy6, Folid.d O!1 ructinFoleaa e Dot iit6d.d 6 oiI6.d rc s.L Ii hqdq, O. buildins or inprov.1mt it sld ridlii @c y@ of cmplclio,lho
<br />Oma-Builddwillh.v.ti.h!rb,olprbvirs0tarhGor.norbuilddimForforthcpurpotcofr.lc).
<br />_1, a omq of th. pr.rdty, m qclBircly 6Er.iing with lieo!.d oF&l6t to cffirrucl ln. Fojei ( Sa 70rs, aBirs 6d
<br />Pbf.rj6 Cod.r I1E C6EErd't Liffi Lrw .b6 !o( .,ply ro e om6 of p.lpary who b{il& a iEFDvB rhao , .rd *ho
<br />drtr! f6 rlch !rc.jdr pti . C@tr!.td(!) li6.d Ftur ro rh. c@Errd! Li@. hw.).
<br />_l m cxdpt u.dd Sdi6
<br />WORI(En!i COMDEIISATION DDCLAITATION
<br />I hdUy .fim ud{ FElly of Fj!r, @ of !n. aoll@ir8 d..lddtr:
<br />_l hry. ud *illmint i!. C€dlic{. of Cdan to sdf-h!@ ra Eutd' dnFu.dq ! Fovnbd fc !, S61im 3700 of dE
<br />tlh.. C6d., fa dlc Ffn .nc. ofl[c wo* for ehich 0E p6rn h i!.u.d
<br />_I h.w sdoillmi lin rdtd' onFlrde iuu,!I@, s '!quiE! b, Sed@ 1700 or$. r.bd Cod., ld rh. pdfdl@6 of rtc*dt fd whiclt tbh Fmir n Bu..l. My *ctd' .@p@!.ri@ i6ume 6ia &d policy nMh6 dl
<br />(Tht t..ri6 i..d ior b. dnplald ifdE Fmir i, fd On. huitld dollc ll t00) q ld)
<br />_l cdli& $.I i, lh. p6fdit1,@ of lnc wdi fa shich rhi! Fmit s uu.4 I ddl tr . dploy sy lnd in &y ifua to s !o
<br />b@rc slbccr lo ih. wqtd ' drpc!{iod l&, or Crlif6i., dd .srE thr it I tlodd bedE ebjEr b rh. qsr6r'
<br />.eF !{i6 Foirioll, of S.dior 3700 01|n! t 60. C!d.,I tt ll, fdrtritl dply wil rh@ F@irid..
<br />u,,, -l -zZ./a/ egr^,$
<br />WAIIiING: rdle lo GE *dtd' .dnFrf6 crv6r8. ir 6l.wtul, ad rt.ll rubjd & oplora b cini,.t FEttis &d civit
<br />6n6 up to oc n@d!d lho!.nd .lolla 61m,000),h rd.liri6 !o dr. dt of d!rq!.lio, de!96 a ForirLd fd dl. S.cii6 10?6 of
<br />fi. Ltc Cod., inrqBl 0d stdDqt f6.
<br />LICENSED CONTTACTioIS DECTAIr TION
<br />I ha!b, rrm @dd pa.lt of pajuy lhd I e li6r.d dda Fsvi.ioi of O[p(' 9 (@cirs ?i!h Sc.ii6 7000) of Diyino ! of
<br />lhc Bsind &d Prof6i@ Cod., ed fty liclo.c i! ir tull ld€ lrd Gfl....
<br />f - z4 ./a./
<br />CONSTf,UCIION I'NDTNG GENC"Y
<br />I h4ty rfm Edr Dadt of Fj'"y lll ll.r! i. . certucdG ladni {E cy td lb. Ffcnre of l[c rat fr *iictl l,li. Fhir i.
<br />i.u.d (S.c, !0r, Civ. c-).
<br />_I qiry rhlr rhc f.da.l E8d.d@ E8rdiiS Eh6rd @otrl e no. ppliqbl. to lni! FDjd.
<br />_ I .lrrify $d I t.vc Ed $n qdiclri6 ad 3nr. 6d rh. .bos infniaid i, coiE<1 I rBE !o corDly pitt tll cry Dd C@ry
<br />6dim6 ed Skr. lrm nl.dna ro buildina @riucrio, ed t@!y erhciz rcpcanfliv6 of lhir Ciry Dd CNty to 6r.r Woi Oc
<br />.lov. tMti6.d Frf6t, fd itr,p..rio,' r{rF.s.
<br />/
<br />t^o,e,*c,n[, yA er--, .A-'.t/
<br />I
<br />APPROVALS tD/stG.
<br />Area/Storm Drain
<br />TubiShower Test
<br />Notes, Remarks, Etc.
<br />AITIICAtrI:]LDECIAEITON
<br />Dq.olilio l@iE-Albalo Nolific.do F.dad Rlgul.Iid (Iid. to, Pil 6)
<br />_ R.q!n!d rrllr of Norificdd
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