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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 <br />I <br />[-----T------ <br />+-+--l-------T------ <br />I <br />-------r-----