PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BTUI,DT]R D!]LCARA I-IoN
<br />I h.rehy afiinn ufrler pcMlry ()f l'erjlry Ihir I an €rcornr r'Nn rhc (onradors l-rens. l,rs li)r rh. tulnNus rca$, (src7l)rl5
<br />Iluri'r.s I I'roll*trn (i).1.f Ant C[y or (nunry which rsprrs r p.nn k, *,iitu.i. aLr(. nnn,r., dcnrnsh or qmt ny
<br />$dcrure, pnorro ns fsuincc,.ho rcqutcs rh.^t)Iilr.nr rin soch r.nnn b Iilcar8ncd s.l.,iEnl rl!, n or sh. h liccned rnNanr
<br />h ri. pmvrions olrhr Conf.crors Li.ensed lj* (Chapr.r 9. C.on..ming (irh Sd.L.n 7000 .f Div'gion , oflh. Bunness 0n(l
<br />Pnft3sioni C.d.) .r rld h. or she k .r.nr rhcrdn,n and rtu hf N tu 'lr .11.:-{ld cxenrrn r AnyvitnalionolselionTlrll 5hr$y
<br />nnplicanr linarenn suhJeclstlE rDplranrto acivrll)enrhyoinolnnrcrhnn nve huftked doll.n(S500)
<br />_1. ar ownfi ofrh. !rc!.fly, o. my .Dploy.6 wirh wagn ar $ci. sL 6mp.isrion. will do Lh. mlk 0d tlE drunE ij mr
<br />inl.nd.d or otr rcd for ak (Se 7044, Busin ss rnd Pmi.*rhN Cod.: llE Conrrlcloa3 Lic4E La* &B mr lrDly b e ow6 of
<br />th. po!.ny *t hril& or ioFnB lh.@i, ald who &a Mh turt hinrlfor h.Rlfor rhDueh hi! d h.. 6sn .npLy..s,
<br />pmvid.d lhal sch inpmwrrE 13Nml inlai.dorollcEd lor$k.l[ tbM,lh. huildin8 or i,r{mrcmnl is $ld wilhin oN yqr
<br />of6npkr6[ lh. Owmr aui&r will haw d. bdd.n ofrmvi.S rh6r lr or lb. dd ml ii{i! or inpmw dr nmtEry 6r ltE nuqx* of
<br />l, os oB.r oflhc I'mD.ny, .m .xclusiv.l, mdBcl in8 wnh lic.ns.d mnlmcloE lo @tr(tu.1 llE rftJ.cl (S<. ?o44. BunB
<br />0rl hn&siin Cod.r the co.l6d.r's Li.cor.l-as doe er a$!ly b r. owftr oftmFnywh. huildr o, ihpmws th.6n,
<br />ond *lb sntEcls for Mh pmr.ci! witn a CofliEcto(9 lic.6*d ,uBunt to fic Conx&lofs Li&nr L.{).
<br />-l
<br />nmcxenrpt undc Serion ,8.&PC. forlhisrcas'.
<br />D.r.. _ (r,mr_ _t!oxllia[co!u!!s4ra!
<br />DIqTAAAIII}!
<br />I heEby Atnroundcr pctulryolpdiuyoEof rhc followns d(hrlrions:
<br />lxl h."( ,,,1 ",ll m.nh,n . c.n 'fi.d. or con(nr ro s.lf lns!rc n, erk.s .onrpn.alion, as fmvid.d ,itr ny sd6n J700 o f rh.
<br />Lar$r (.d.. torthc ncrfomR oIrh. trolt for qhhh rh. n6m FFaed
<br />_l hrv. ind sill ma'nlain wo*en c.Ep..sa.on ,nsur!tu(, .r r.ldtEd hy sdr trn r7u0 .l rhc llb r Gd., for Ih. l'€rfomm. ot
<br />rhc tr.rk lN u h'.h rh* lrd i ,tu.n Vy wor lds mnn.l{r
<br />'on 'nium* e{m., ,nd r{|tr} numh.r r.,' OP/U) t)ls3o/O'lo ,/
<br />,",'.,*^" L-xifQ-9@Og8O/A y', ,/lF
<br />-l
<br />cediryrh.r in rh. ttrfomrr. ofih. wo n'r whicl lhr f.rh( F rs{.J.I sholl mr .n'rtlnr #r ncmn i#ny mmng
<br />$ sroh(nft cubJ(t to thr s.rl6' onrcner 'nn lJwcot(.lit mE sffl0!RrhI'rI {tnuld }..nm. tubdt rorhc
<br />so*6 q,q)mstionrmvisions ofSeclion 1700 oa$c L.hor Gde,, &t!ll. finh\rhc.mplt wirh rh6. pdvisnr
<br />WARNING: Idrlufu ro scur. sorkrn coml,.h$r.n coltn mnloi€r lo simiNl r'.mltie and
<br />ion, dama8ci ai nmvidcd lor rhccivil nn.s up k! orc hu L.d rhouend dolhB ($100,000),
<br />I h@by amm utd.. p.Mlly ofp.rpry that I .m liened
<br />ot rhc Buio$ aid Pmf.sotr C.d., ond nyli.cnc h
<br />FBvhbn ofch.plcr9lco'nmnciq wilh Scclion 7m0) ofDivii.n l
<br />uide. Fdlty ot p.ru.y th{coxslllc.uoll.l:lracAcliactlllr. ir a oo{ddbo kndi.8 +dy for rh. p.rfomM. of llE erk for ehich thG dni Lc
<br />ilscd (S.c. 1097. Civ. C.).
<br />ATIIICAILDI]CLABAIION
<br />I h.r$'y 06inh uDdr, ,.n.ny o f r.rjury om of rh. follos'.8 del.r.i rn$
<br />D.m[r6. PerDni Arh.sr6r N.lific bn I<l..al R.eohr iols (] nb 40. Pan6)
<br />-R.quned
<br />L,ellerof llonfi dio.
<br />-l
<br />c.niry ftar rb. f.do.l EsuLriotri r.mval ac ml ,ripliobl. ro ttB pmj.d
<br />-l
<br />c.l ify th.t | tuv. r.6d lhis ion ncor.ct lrsrcro complyNith allCnrand Counry
<br />odin.nccs 8nd Sl.t. Law,aurh.n.r.l)H..l.nvs oarhh Cirtand Counry16.nrd ufi'nrL
<br />ob.v. mnliomd Dmn ny for
<br />UNDER GROUND
<br />Waste & Vent
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P{ra p/Drain Line
<br />lrlain Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler r)
<br />Sanitary Sewer/ftah '-'l-/t \.tll1rl
<br />Back Flow Devic\-/v
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL tr"vJ16lVNotes, Remarks, Etc
<br />Water-Under floor
<br />Gas Service
<br />a fur
<br />""r+
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