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PLUMBING.INSPECTOR RECORD
<br />DATE tD/srG.COMMENTS Omd-Bukld D.ch..to
<br />I h@by .fim ud6 Fn.lty of pcjtry lh.r I o a6pl fm thc C6tr .toB' Li@c t * fo thc folldiis '!.s Ge.703l.J Bui.a ,
<br />Dd Ptorerioo Cod.): Any City or Co.uty whid rlqujE . p6Bir io cdllEuc1, .1t.., imptov!, rlg.oiilh d EFn uy ii!.nr., Fid ro iB
<br />igae, d& EquiE t!. .rpliorl fq .uc! Frmit b 61. r rie!.d n!r@6r dur ic 6 th. i. lic4.d lNlllur ro dE proviri6E of tt.
<br />CdF| rd'. Lic6!.d t * (Cn$a 9, Cmdnt eirh s.dj6 7000 of Dvitid 3 of lnc Buin l. &d PrDf.rioi Co&) a th'l h. d
<br />rh. i. qqt t rffioi &dO! brtn t(rlb. lncsed aoBi@ .A!y rcl&6 of S@lia ?031.5 b, uy.p9li6l f6 a pdnit suljdr ln.
<br />.ppli@t to . civil por.lty of nc. tt@ lte firc h6.i.d .10116 (1500).
<br />_1, u M of rh. FlFry. 6 d, €mployG witt *.88 { lh.ir !ol. q@Fqdm. *ill.lo ttc wdt sd ttc n u.re i! tur i.6rd.d
<br />d offald f6 !.lc ( Sc 70,1t, BaiB ed Prcf6i@ Cod.: Th. Cmf|.rq'r Licte L:w <ld rd +ply ro e M6 oI UG Fq.rryqho bdld. n inFov6 rh€6r ad who &6 sE[ *dt niB.lf d h6.lf d rDtugI hk 6 ha @r Gmplorca, Fovidcd rhn 3uc[imFoffia & noiint !d.d or ofid.d fd 5.1.. Ii howd. rhc buildiD8 d inFol@ot i! rold rilhin 6. yry of@plaid\ ti.
<br />Oa!6-AuiUq will hrv. th! bqrd.t of provins rh.r h. d r[c nor hild or imprw. f* O! pt!F.. of 3!]G)
<br />_1,. om6of $. Fq.ny,4 qclwiGl, @E&ina,iU lica.d 6tra$6 to cdt !c th. r@jct ( Se 704,4, Bqin< ed
<br />trefdi@ Codlr Il!. Cdl'ldE t Uclet ry do6 aot .,ply !oe oraof F('pqly pho buil6 a iDFDv6 lhqa, &d sho
<br />60-1r fd rld Foj.{rs *i$ r Cdr&id(r) li@.d Fd@r ro rhc cerr&rd! Lic.e trw.).
<br />_l m .xdpr odd Setid _.8 & P C fd $n @6.
<br />D.&r Ome
<br />WORI<ENS COM'ENSATION D'CI"{IT TION
<br />I hqtby .mm @&r F.lry of Fjury @. of thc aolldi.8 dalfdl@.
<br />I h.vc ed villmiit in 3 Ccnili..rc of C@dr lo S.lflroE fd *dkd'6rlP6rdion, s Flvi.ld fd by Sdd@ ITOO otrh.
<br />kbtr Cod., fn th. p.rfo se of ln. vdl fd whi.t r!. Fmit ii iaucd
<br />_l t.E &d will rointrin -dldr 6np6ad6 iswe, s Equird by S*ri6 3700 of th. tlbr Cod., fd thc F fcfue of dE
<br />wdt fc *hid lnir Fnit it is.d My ,qt6 c@p<s.ri@ i,l5ime @i6 ad Dolicy iMb? @:
<br />Policy NMt r: ftpiB:
<br />(Thir !.cim n6d not b. .mpld.d if thc panit it ar otE hu.nd &illE {t loo} q 16)
<br />I 6dt 6'l ii $c FfdtM€ of ih. *dk fd whicll t[L Fnir i! iru.4 I rldl rd dplo, &, ,as in u, !!!E s r. !obalE $bj*1 !o dE wtd ' .drpcrudim bs of Cdifdir ed .gr $a if I dreld belft ibj.., ro lli. wqt4'
<br />cdF!.ri6 provi3idu of Sedd !700 of th. l,rbn Cod!, I !hdl, forlhwilh comply willl th@ Fwiri@..
<br />,* 1> | / o*n*r, Yl z--
<br />WARI{II{G r.il@ !o lec wdt6' 6!F ltdd ovargc i! dlretul, 6d th.ll rulj.ct & cnployq t, EiFi[l p.mhi6 6d civil
<br />6n6 u, ro oc hu.&!rl thded dollG (3loo,0oo),ii .ddid6 to drc @r of drF!.rid. d. g6 s Fovid.d aq tb. Serid 30?6 of
<br />O. rrbd Cod., iitc.t't -d dtor&y'r 16.
<br />ucENsED coNTRrrcrorut DEcL,{n {TroN
<br />I hdb .mm uda Fdr, orFjEy rni I n li6!.d q.Lr Fovisi@ of Ctda e (m.int ,nh Seri6 ?000) of Dvisio I of
<br />$. Eain6 ald Prcfaitu C.dc, ed my licaG i3 in tull fdu dd cffc.r.
<br />oar. .1--./4 ce,tss
<br />CABiIBUCIONIEDACAGENCI
<br />I ha.tr .frm ud.r Ful9 of p€jw, rhat $@ L r @n$u.ti@ lading .8dL, rE rh. pdftu or thc *at rq whid drn Fhir it
<br />isu.d (se. 3097, Civ. C.).
<br />au.ucaNriDEclJaAloN
<br />Drmlirid Pmj&A!b6r6 Nori6.!d6 F.d.ral Rlgdrdw {Tid. /o. Prn 6)
<br />_ R.qui.rd L!tra ofNodficnid
<br />G.-n ./Crlr
<br />,3--/2/ada
<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 />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main DrainiPool Piplng
<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 />trYDIEII :n
<br />Rough Plumbing
<br />FEBOI
<br />Meter Release )
<br />FINAL
<br />Notes, Remarks, Etc.
<br />Word\wps1 \Forms\Permit.-tnsp€ction Fo.ms
<br />APPROVALS
<br />Tub/Shower Test
<br />Final Gas Test
<br />_! catiry dla dt. f.ddrl r.gdrid is&dii8 .b6t . rsmv.l r! troi lpplioblc !o tl . lEjod.
<br />_ I sdfy 6d I h.E ,ad $n eDcda &d rd. dr 6. dor. infdir.lio ir cdlcr. I €E to 6!ply rilh .ll cit, &d Cd6ry
<br />ordinrn t. Ild $L rrwt d.lir8 ro tqildint @eudio, od halty udEir. cFwlt d6 of thir Ciry &d Coury ro s{6 lpo 6c
<br />.!oE h@ri@.d Fqqty t6 irsFcri@ FEpo.6.
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