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PLUMBING.INSPECTOR RECORD
<br />DATE tD/stG,COMMENTS
<br />UNDER GROUND
<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{rap/Drain Line
<br />Main Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler ;1 A
<br />Sanitary Sewer/bad I -t-.rl \-V-rN
<br />Back Flow DevicV
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release /-..\
<br />FINAL I
<br />t+--1 XM...10
<br />Notes, Remarks, Etc
<br />OWNEI, BUILDER DELCARATION
<br />I h.r.by Efrn und.r Fdlty of F.lu', lhsl I d .x.nfl nDo lhc ConhcIoE Lic.M Lsw for IIE follo*ins Eosn (Sd?011.5
<br />ANincai ad itufdion Cod.)r Ary Ciry or Cord, which Equi6 a p.mjr lo oidtuc! !h6, irDrett' rhmlilh or EFir.ny
<br />sllucnr, $.6r io tu i$uaN, ,]!o r.qun6 rtE applicld for $.h Fmr lo liL . .i8ncd cdt Ml th.r lE or G. ii lic. r.d pwa
<br />ro lh. pmtrioB oldE Co.r&toa! Liccn*d L5e (Clslrd 9. Conm.tui.s wnh Sedon 700{ ofDivi.io. I ot tlE Eurnc$ !.d
<br />PoGriioi! Cod.) o. thll h. or Bhc i. .xcopt $.Gtbo a.d th. beis l:. $. .lks.d q..'ltiotr A.y vioLtio! .rs.crion ?01 L5 b, sy
<br />.pplic.nt lor d,!.mil bjel! lhe lpplicanl Io . civil pe@lty ofml m.. thu fiv. hutdr.d dolls (1500).
<br />_1, a\ owr otth. ,Dlriry, or ny .mrloyrr$ pifi qs6 a rkn $L 6rD.isrbl! wall do tlE wo* {d ft drud@ ic mr
<br />id.ri.d or of,.r.d for sL (Se.7044, BNim and Pofalioni Cod.: I h. Contr.clolr LieM Law &6 nol arDly lo s owrcr of
<br />ilE popdry wlb hlildr or inDo6 rLtutr ad qlt rh6 och tuir hihi.lf or h@lf or thrcugh hii or hd ow. .oplot!6.
<br />,mvid.dln.t Euch ihpbvff s e ml inlsd.d..otu G,. sla Il h.w.€. rlE h{ildi,t-. or inpbmd t $ld wilhir oE }ar
<br />ofsEpkliorl tk Ow.r Buil& will h5v. tlF bud.n orprcvi,B ind tE or dE dil mt tu,ld o. inpmE lh. pmFly n r llE purF$ oI
<br />I m.r.mDt ud.r Sdlion , B. & P c- for lhis r.as'n.
<br />Dat Owtr..
<br />!l)8lig8s:.c!l!!rt!sa!ro!
<br />D!CI.Af,AIIA!
<br />I h€rcby 0mrm und.r lcnoltyoln.rjuryonc nf rh. followi4 d{laElionr:
<br />V U,. o,,a *,tt *,nru,n o C.n rfiok.fcons. t. S.lf-lniu tor Eo*ss comp.nrario., !r pmv'dcd lor by Ser ion 1700 ollhc
<br />610r c.d., fnr rh. ndfomm. .I rh. trn.k Ior trh'.h rh. r.hr (
<br />'rq.d
<br />I h,v. rnd willmrint.in worl.ra comn.malion insumnc.,I requircd by S6,ion 1700 o[lh. ljln, Cod., lor lh. pdlhmncc of
<br />$ as ro b*,ft lutjftr ro rh. wo&d' ohp.nid ion l.ws of Crlifomir. i rlFr 'tlshiuld h.c.nr slhl.d n,rlr
<br />$orteii' d,4ensarnnr6vFo.r olsdnon.lT0l)of rh. LatFr Limplyw h th* pori6n3
<br />W RNIN(I: IixLlure n) s.cur. $orkc^' conprnsrrLon
<br />of nct lry rhar I sni lisn*tl undcr bn ol Chafld I (.o'nrne.cinS wirh ser ion 7000) ol Drv$(n l
<br />ot lh. Ausin*s.nd Pmf.*rioN Cod., nmylic.n*kin
<br />^lt&
<br />catsIaucuailxiBDllc-dcllcl
<br />I h.(by,mrnund.r Fulry otr.rjury rhat rhtr. N ! con(rucrt)n l.ndms osency t& rhe pdomaB ofth. *r* for whi.h rhis ,)tmn iq
<br />issued (S.c.l097. Crv. c l.
<br />AIIIIIAII.IECI.ASAIION
<br />I hort'y otrm und.r r.odlry o l,*rjury om ofrh. hllowm! d6learDni:
<br />Demolirnrn l.mns Ashcat.s Nol ifiqt n'n !.deEl Rqul.l ions (-l'nl. 40, P.n6)
<br />R€q!t.d Lcrr.rotNoiifi dri6n
<br />-l
<br />ccni&lhd lh. f.d.El EEUarioN 6sb.no. rmul arc nor aptlic.bk h rhis pmj.rt
<br />-l
<br />c.nify rh.r I hav. r.!d rhis app rhnr tn otnv. inlornmtion h cotur. I rlrc ro cohtly *nh all Cny ind counry
<br />ordnames and Srat.1..\,s El.r rclt.rnt.tiv4 ofthis Ciryond Countyro.ntEr upon tlE
<br />eh)ve Gntiomd l,mp.ny fot
<br />Appll.inl or ,tr.t Slg&lu
<br />APPROVALS
<br />Waste & Vent
<br />Water-Under floor
<br />Gas Service
<br />I, N om.r of lh. pmp.ny,0m.xclu,iv.lycontmdih8 wirh lic!.*d mnlmdoE to snntud th. !oj..r (Sft. 7O14. BuriK
<br />ari PoLsi,nC.d.:Th. co.krctofs Liccnc Los do* mr aprrly ro ,. os..r.l trptay *h6 buil&.r inprcE. fi..6..
<br />and who o.lEcts for sch nmjd. wilh r Cod6do(9 lictMd punul{ b lh. Conlruclor's Liccnsc Low).
<br />\-\,
<br />I
<br />Lcndcis ddr.sc:
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