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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER Bt]ILDIiR DI:LCATAI'ION
<br />I h.rehy,m'm undcr p.nolly of pe.july lhnl I an cxrmpl iion lh. (onlnctoB Licens Li{ forlhe follo{ih8 rdstr (S.cxrll5
<br />Busnrcss ind Pnfssion Codc)r Any Ciry or Corm, shich reqrnL* 0 n n k' $trnnrr. {lrcr. r.rrrov., d.mhrn or .qEir any r
<br />srudurc. prior ro irs rssunt(, als requtr* th. ifl,lic.tri aor sush lrani h nt a nstud lt.rwor rhai h..r sh. i! Iic.r€d FUNId
<br />to ih. phlrshn, ol$. Contscloas l-icensed I as ((.lMpro q, co mcncin3 \'ilh s.cr'..7000 olDivhion I otrh. Bwhcss md
<br />Pnnirsions Code) or ll[r hcorrhe B.r..rDl (hercriom..d rhc6$h nrrh.allcS.!.xc'Dri'rn. AnY vhldronolSdihn?0115 hv,n!
<br />snlllr{r, i,'rm \uhrNrcrlE.nnl'crnrrcrctr'lr.dhv.lmrnn{.rl[nlirchundr.drl'llrn{(\0nr
<br />,-y'*iktr, r'**nnv.o, m) rmnro)..s * r,s,!.iJ<,r'rtrq,lcc.'nncna ,,tr *,rrda rh( B.A nnr,r*{M,u,.h m,
<br />?air.n&l orolleEn hr sleIsE 704-4- Buqrn.$ drd PmLssioNCod€ Ihc(o,rEdois l-rcnFc l-ns doca ml a0dvro.no{'ftt.f
<br />lhcpmFny sho tflildi or Npmts $c@r Dnd $k, d{x sch s\)lt himsclfor htMlfordmueh hh.! hct.m cf)llovces
<br />proridsl t h.r such inDmisEnls m d d. Li dr ollckd for slc lf. lnNstl rh. hn,ldh! .r n{)or-drcnl G sld $irhin onc y6r
<br />of.on!.k[r( rr.own.r aukta wllhov. rh. hrd.noipn]yms Itnl lEorih. kl N I'urld or imDFvc $e pmrdv lor rtE t!{.* of
<br />l. rsoNnerol'lhe pmrEn y. ,m .r.lus,v.ly conr.dins w h lr€ns.d .onki.krE b.on{trucl rhc pmrtc' {s( ?044. aunnes
<br />alllPmf.asnnCodc:Ih.Conta.lo.sLicentt.a*do.sminprlyro.$.$ofprcp€ny$hdhurldsorinrptovesrh.r.ar
<br />and *h. co mch for such nmisls *ilh a Conrrlcld( O lftn\cd puBurnl l{' thc c.ntrecroi s l-c.ne L1q
<br />I rm.x.n mda s{t6n .B & P.C. LrrhN @q,n.
<br />go86e8s:co!4trdsaIa!
<br />. IICLAAAIIQE
<br />I h.rchy altim ud( pmltyof pqjuryom.l$. followiry del@lioal
<br />,I
<br />lMvcadq'illmlnrn'nrc.dilt.rcolcons.nrtr,Sclilnsur.lttrrvorkdro.rPenslon.spmudtdfitr6ysecrionl?l)l)ollh.
<br />l-ah,Cqle.lnrrhcpErffmatu.olrh.work rbrwhichrlEncmrir hFsued
<br />_l lllv..nd will minl.in -ort.n .omp.nrarion inruriG., as r.nuiEd hyS{tion
<br />rh. srk f.rwhrhrhtrEmn 'r i*tud Mv worka!' comend/(i
<br />ctr'.. S*-Fa-*Z
<br />l?00 olrlE Llbor cbdc, for lh. dfomr of
<br />6
<br />-lc.niryrhal
<br />in th. p.rfolN rofth.workforBhichlhi.p@ilisi..(IdEllmt.mPloy.nyp.frni,any@hffi
<br />$ ar ro h.aft sbje! ro $. e*6' smp.mltsn lrws ofcrlifomi.. ond a-s@ lhat if I slhuld h.@m .ubjel b rh.
<br />mrt6 comrEnerion pmtsiom ofs..rion l70o olth. lrbor Cod., I rtBll. fonhwith mmnly silh rh.r pmvirhN..
<br />WAiltlNC: l'ailur. ro RuE srkcB'ompaqrion cov.ms. c unhwtul, and shsll $hj4l an oploltr to dimi,El ,.Mllis and
<br />ro o* hundEd thou€nd doll6 ($ 1 00,000). in addl mn ro !h. coRl ot coml}.trel io'r damgca .s !t vidcd to. lhc
<br />c.de, inr.6t ond afionry! L6.
<br />/./
<br />ll:ClrlaAriA!
<br />IlEreiyrlltrnund.rpenrltyolNrjuryrhdrIrtrrI'csdlund{pm!isionotCllnre.r)(..'nni.nc'ngwirlSccuon7ll0l))oflJnrnonl
<br />ol rLc au*ncsakl Pio,i$nns Codc. r'xln,y l'ccns. t,n tullnKr rtolelt.r
<br />64
<br />caN$alcuaN.Lrll)rlc-Ac[dcl
<br />I h.,.hy sfliro under !.Mlryofo.luryrhd rher. is tr onsruction kndins asercy lor rhe dn,rmmc ofthc $r\ nx whch rhis n<.nrit h
<br />Fs!.d (S( 3007. Civ C ).
<br />AITIICANLDICIIAAUII!
<br />I lad,_vammrnd€r p.nilry olp.rjdy one olrh€ hlhuln3 d(l.mrions
<br />Demo|rkr l'erintls AshcsrGNonficaronti.d.r R.-euhons(lIl.4l), P.n6)
<br />l{cquired l-eller ot Nouli..rt,n
<br />-l
<br />c.nrfy rhlr rh. fe&ol rc8lLlions Esirdins Nh.stos rmrnl arc ml applicabl. t. fiit lojd
<br />-l
<br />cdlilylhd I hatr r.ad lhk arplication$d (alclh rh. !lFv. inlonnorion iscodd.I lrrc tocomllyq'nh.llCilyrnd County
<br />onlinanc.s and shr. tiws Ehliry to blildi lidl !.d hcaby aurhrriz. ..t'..knhri!s o I thir Cny and coun
<br />xhrvc DRtrrtr)n.d pmtcny fir
<br />ADpllcrnl o. AE.nl Slgn{lu
<br />UNDER GROUND
<br />Waste & Vent /lao.E t ap hl*rz[1---r,*,
<br />Waler-Under floor il i-A' rL4,aA
<br />Gas-Underfloor D.l,. i,-!.-l b ,,' t'lc^Q
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipi ng
<br />Gas Pi I
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />Ptrap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release I
<br />FINAL ) /r/ta,+11W,I"vNotes, Remarks,Elc. ' [ -T-
<br />(4.2t
<br />Lender', Nim.
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<br />Llndo's AddHs
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