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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE Oh6-B!ild.t Delolio <br />I hatby rfim 6d.r pcn.lly of Fjory 0!.r I m qmp fom 6G C6E&1d' Lrcae tn fd thc fouNins ,!ao (6.?031.5 Bainar <br />ed lYofeid Cod.): Aly City r Cafiy whid EqsiE r tEEi ro cdlE e( drd, inprcv., dldolirh d Ep.t ey ,Eucn@t Fi6lo ir! <br />i$u{.., rlto Ilqui6 rhc rpplior fd iu.I p6nn 16 61. r.ip.d ii.raEi d8r h.6 rnc i.lic6B.d Fl!@t to th. Fvi5iN of Oc <br />Cor.cd t Li@lcd L!* (Cll,.p(.r 9, Cr,l,@dD3 wiln Sdia 7000 of Divilio 3 orth. Buins . l Pof.'litr Cod.) d lh.1 h. d <br />rh. n dnPr lhftAd dd th. bai! fa dc dl.t d ddpdd .A.y viohdd ot Seti6 ?031 5 by ay edi@r fn ! rffin rlbjeb tb! <br />@licat ro . civil ,oElry of d D@ th& fivc hB&!d &ll@ (l5oo). <br />_I, 6 Ma of rhc Fo!d!y, d my dplord eirh w.a6 ! lllcir 3ol. c6F!di@, will .lo rh. sdl ed lh. .rlcrc i! nol irrad.d <br />c orsld fd r.l. ( Se 70{4, Bsino od Prcfdid Cod.: nc C6E&tor! Lic@. t B da nd !p9ly !o e omdof $. FoF9 <br />who tuil& 6 irr.ov6 tbo@. Dd rto d.€ r@h dt hi6.lf ( helf d th@gh hn a h6 @n anploy..3, Fovid.d lt.l 3!dimF$ltMr e not intcrd.d d olIqltl fc id.. lf, ioqd6, dE t{ildins 6 imFotlt@r h r.ld ri6i, 6. yd of 6pl6ic\ rhc <br />offi-Brikb will hE $Ghrda of Foviat dld hc d.h. nor blild a im!.Drc f6 !h. purF.. of t l.) <br />_I, a M6 of lh. F.Fty, s.xcluiv.ly mlredni rirh lic4.d @retm !o drlrucl lh. Fljd ( Se ?044, aBinB ed <br />PmfBio Cod.: Tt. C&r.clc's Licd. L!* dG nor alply ro s lM6 of prcpary wto buil<t! a ioFDE thau- , od who <br />c@tal! fd ,uch Fojd wnn . caE!d<, li@.d pEut ro rhc c tErc r Licd. tiw ) <br />_I s dapt und.r Sfttim <br />UABKEBI.COIEEIIAIIO!.DICIdBAIIOX <br />I hd.by dnm ud.. Fr.lty of D.dury oc of $c follMins d*le'rion!: <br />_r h.v. ud eill Ditrnin ! Cdifi..r! of Cdnar lo S.lf-h!e fd wqi@ cMFr1id, s Drcvi.Ld fq by S*1i6 3?00 ofd,G <br />L.ba Cod., fddtc Ffarll.@ of tltc wdt fd *hi.r, dE Fhil ir ilsucd <br />_l h.w ud riu roinb,n wdrd @mDa!.d@ iMc., B rcquiEd by slcio ,7oo ofu. r$d Cldc' fa d'c Fftue ot6. <br />wdl fr whi.h rhit Fnn i! is.d M, wdlar' cffFalrid iIllme 6id od policy rmbd r.: <br />lolicy NMb.i ErpiE: <br />Gin cd@ nad nor bc c.ipld.d if fi. pamn i! f6 onc hEd,.d dolLn lll00) a ld) <br />_l 6dry d'.r in tlc FforMe of lh. wdt fd which thi! Fmit h isuc4 I dhdl nc. dploy s, p6on in uy tun6 s ! ro <br />bcceE !&i.c ro rhc wo*d ' otpqB.tid lM of cdilmi., ed 3eE rhlt if I .f@ld taeE Ebjcc b rh. edt6' <br />.otl,aE'lid Foviti6! of S.ai6 37OO of 6. tib6 Cod., I .h.ll, fq$wih cqnply rilh thq. Fwitid!.. <br />WARNING F.il@ 6 !c@ q6l(6' .dnpord6 @6a8. i. 6ltwful, sd .hdl ,ubjd & anplord ro oihir.l Fdd6 ed cilil <br />6n6 up ro oc hmd.d 6o@d.bllB (3100,000),ir .dditi6 to thc 6r of .d!d.ri6. drn $s a p@rid.d fdlh! S6tid 3076 of <br />rhc t h.. Cod., irl!6t ud .!d?y! f6 <br />LICENSEI' CONTRACnof, !i DEcLAf, TION <br />L!@ty .f[m ud. pa.lly of pdjuy lna I n li6!.d 6<Lr prcvido of cl'.pla 9 (fficint eith sddd 7000) of Divilio 3 of <br />$. Baiia 6d PrcfdiN Cod., ed my li.ag ir in tull fm ed.rd. <br />""., -{-4/ar/ "-"** <br />CONiIBUCIION!ADIIC.ACENCI <br />I hfrby offin und6 pdalty of pajlry rhlr rh@ il a @nlnucdd lading .g6cy fq th. Ffme of th. wat fa *hiqll ort Ffrit n <br />isu.d (Se. 3097, Civ. C ) <br />ABICANTS.DECIAAAtrqtr <br />Ddnolirid PmiI. !!.nd. Norifi..li6 F.dad R.SrIrda (Ti0. ,O, lm 6) <br />_ R.q!ir!d r..il6 ofNotifielo <br />_l @niry 6!1 thc f€datl ESuladtu Egrdirs Eldb mval e nor .ppliclbl. b $is Foj.tr <br />_ I @dry 0!.l I h!v. rEd lhir qrli.lli@ &d rtdc thd lh. rlovc intm.lid t @n c I agre to cmdy with .ll ciry Ed CMry <br />ddj@c6 ad Sla! Ls ELring ro buildinS @!r.u.rio, d nott, un@& EF66rdiv6 of lhit City od Cdnty ro 6Er uF.r Oc <br />.!oE mori@.d F.pdty f6 in5Fdion \-4--.<._\6a. - <br />6 <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 />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing EVET <br />Final Gas Test <br />Meter Release FEA N ,nro <br />FINAL SAr\,rc 8-43. 2!0,550, a67 <br />Notes, Remarks, Etc. <br />Word\wps1 \Foms\Pemit. <br />tD/slG.COMMENTS <br />Misc <br />- <br />I