APPROVALS tD/stG.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 />Back Flow Device
<br />Rough Plumbing E^rtfi EU
<br />EED,tI .lntn
<br />Meter Release
<br />s AMC 8-{3. 29C . 556, 667
<br />Notes, Remarks, Etc.
<br />Ohd-Bui,ilq Dlchtni@
<br />I lErty .frm 6da pardty of pdjr.y lt.l I o qdpl fm itc CoE-lon' Li@. L.$ f6 Oc rollowi.a t!!d (c.701I t aBind
<br />ed rrofdio Cod.): Any Ciry dcomty qhich,quir... F rir ro cdrilct.llq ifrprolc,.lamltt d Epair sy rEu.t !, Fi6 ro in
<br />isuar., !l!. equtt. rh. +pli6r fd ruch pahn io 6h . ngn d rnanal dlil h. d 3h. h li6!.d plt'!@i lo d!. Flridw of 6.
<br />Cdm.r'tLi@lcdr8(Cr!.?6,,Cdlmrci.swiihSc.ri@7000ofDviri@,ofo.BuiI6edPrDf6i@Cod.)6thrh.r
<br />3hc ir qdp. thfrfrn dd tltc hait fa tlr. .lleld qdnFid .Ary viohdd of S!.ijo 7o3l 5 by o, @li@l fd t Fnnit .u!j.d $c
<br />@li6l to . civil Fdly of nd EoG ln& iw h'Edld dolls (t500).
<br />_L ! oM6 of ihc F!'pqty, 6trry 6plor6 eilh r.8s a lt.ir sL.urFasd6. rill rb rh.{61!d lhc duo4 i!.d intaddr otr rld fr r.lc ( Sc.704rl. Buind ed Prcfdi@ C.d.: Th. CdE&rd'! Lic.e trw <t6 n ..pply ro & ME of rhc F(?dry
<br />eho build! 6 imFq6 6oEr ud rho &6 $t dt hi6.lf d h@lf d $@d hi! d h6 om cnplorc, Foridd ti.r tuditrrFrtffiE 6ndi ard.d d orqld fa !.1.. It hryffi, thc bdldin8 6 inpot.lMt t sld ,ithin @ yd of carylaiq! tc
<br />OMa-Build.r will hlvc rhc brrd.n of FoiiiS rhll h. 6 rh. nor build d inprcv. f6 $G p'apo.. of3d.)
<br />_1, a o*M of rn. Fqary, o qclqivcl, @!anii8 efi licdcd @!' co.. ro cq!E!.lrtE Fjd ( S* 7oaa, Buiid Dd
<br />PDfdi@ Co&r Th. Cot*1d'. Ucd. La &6 lot .pply to u oma of F!Ft, slp bdl(t G imprcva ihc@ , ed qho
<br />6E&l. fr tud Foj..n *id' . Cou&ld(3) lierd prn@r lo thc C@r*ro.'r Licqe tr,.).
<br />_I d ddF 6& S..ri6
<br />-8.
<br />& P.C fa lhir tt.s.
<br />hq Oh6
<br />WORI(f, RS COMPf, NSATION Df, CLARATION
<br />I hdby .Itm ur&r p.ndry ofDdjuly m. oflhc followins d*luti6s:
<br />_Il'.v.ad*illui.in!Cqrifi.r!ofc@6rioS.lHlltWadvdto'c6F!n@,apEvidc.lfor!yS.aio3700of$.rrld Cod., fdd,c p6fdime of Oc eo* f6 whictl tn. Fnn i. ie.d
<br />_l lr.E ld,ill @i.lj! wai@' mF.djm ilr.lE@, u r.quir.d hy S.di6 3700 of rh. Lbd Coda lc ri. Ffo'lr.e of !h.*dt f6 whict $i! pdrir it iaE l My wal6' 6,F erid iNu e qi6 ed poli.y n@h€ &:
<br />(ni! rErid ...d nor b. .@pl.Ld ir rh. FhiI i. aq o.. lM(H &lla ll l0o| d 16)
<br />_l citjry th.l in ln. Ffm@ of tn. w6* tq whicn olir Fmn it isu.4 I .h.ll nd 6!10, &y Ftr ir 6, ltrea $ a to
<br />bele !ubj61!o lt.w6ta c6F.!1i6l.B of C.lif@i., ed rIE th.r if I rhdld b..m sbjei to lh. rrld
<br />cdp.Bllion Fovi3i@ of Setio ,700 of th. Llbo Cod.. ! rh.ll, fdt[wi$ @ply s$ th@ FDviri@3 .
<br />t ARNING: F.ilw 10 t6urt wGla' @p..!ai@ @v.68. ii ulsful, sd rnlll iubjd d dployd lo qimjr.l FGlIiB ad civil
<br />6.6 up lo s. hudr.d rhoq&d .10116 (l100,000),in .dditim !o thq co61 of .mp.nrarion, drdru8!3 a Fovid.d fc lh! S€ti6 !0?6 ot
<br />tl'c Llbor Cod., i.rod ad .ndcyk fd.
<br />IICIIiED.CONISACIOXI.DECIJBAIIAI
<br />I hcby .I6n hdlr F!.|ty of p.qjury th.l I m li6u.d und, Fovirid of O!F6 e (@.in8 wiU' ScIid ,000) of Divilim , of
<br />dt. B@ira 6d PrcfeiB cod.. ed nly li@c n h firl f@ ed .fret
<br />S-zay'z1 c^,**P/, .
<br />OONSTRUC.TION LIIYDING ACE!{CY
<br />I halil .fEm
<br />'Edd FdtI of Fjuy Od $@ n . 6ttr!ai6 ladint .i6c, fa O. Ffdlrc of thc Et fa ,hicl tlrL pdr.it i!
<br />iald (S*. !097, ciY. C.).
<br />AIILICANII'.DECIjBAIIOE
<br />Damlirid Pmjr&Atbdo No66cni6 F.da.l RcSohid (Tidc .0, Par 6)
<br />_R.qoicd t tl.r ofNod6..de
<br />_l 6dry &!l lh. f.ddrl GSuladd! csadins ah€ta '.mEl e no. lprlic.U. lo fin Foj..t
<br />_ I cstry lllar I t.v. @d $rr +pliori@ Dd i,!. r[.r rh. !bov. inforhllio tu clfu. I .gc io cmply wirn dl Ciry ed Csnry
<br />cdinE6 &d Srr. L!w! Elding ro buildin[ c@lru.do, 4d hmby .uthoriz. r.pBdt liv6 of Ihir Ciry Md Cdnt, ro 6l!r u!fl rtc
<br />.bov. lMtim.d F.?aty fa iNpori- pop-o
<br />.<r -/Z-)4-4
<br />.(-"o/ /
<br />Word\wps1\Foms\Pemi
<br />PLUMBING.INSPECTOR RECORD
<br />DATE
<br />Final Gas Test
<br />FINAL
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