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PLUMBING.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OTVNIR BUILDER Df LCARA'I]ON
<br />Ihcrchynffirnundcrpenilly(,I)cjuryrh.rI.mcx.mprimmth.(o.acro(l,iccrsel-aulorrhefinh{insr.aw'n(Sec?011.5
<br />Btrrin.ss aBl Pruf.rsion Cixls): Any Cirt or C.uoly trhrh r.qurcs r pLmir ro con{tucr- 1116. 'mn.o\!. J.nrn6h o. Rnnn ant '
<br />slrucxtre. pnor k, its lssu.nce. aho requirecrh. rFrlicrnr r(tr.uch p.rnr k) fi1. i nln d shr.nmr thd h. o he h Licened nursurnr
<br />torhctmvnnnsofdieCont.cloisLiccns.dl-nw(Chlpr(rI,cl)mnrncr!{hS.cron70(10olD'!*dn:l.irfuBusn.\sind
<br />l}ote$ioncCodc)orrh.tneorsh.hex.Dr rh.r.lioDondrhcnanslorrh.ill.3qlcxorp!.n nyriohrionols.cri.nr0ll5hyrny
<br />.ppli..d li,r a l.mir suhjech rhc lltli.rnr (, ac'vrlp.nalrvofnol Bn.(lBn fir. hlndEddollrtsl$500)
<br />-1.
<br />os*r of lh. prDp.ny. or my .d'olorB wilh w.g* 6 rlrt $1. onqE,MioG will & llE ulrk .,n tll {tudE b ibt
<br />iitq'd.d or otrcrd for $1. (56,704.r. BNifts md Pof.sioN Codc 'l hc Co.roctolr Lic4. L!* d<6 mt arrly l. m omfi of
<br />lh.pmFtry wh, hil& or inpmE Eqtr!.,n wno &6 chm hinrlfor h.elfo.ltfr{sh hit or n6 om cr,rlotts.
<br />povid.d rhll sci inpolmnl! @ rcr in&id.d orofl.&d tu sL. l( ho*ffi, {e buildiqg or ilprcw&r i! old wilhin oE ,a
<br />ofon{,hbA fi. O*ftr Btildd pil trw ttE hfkn ofpovi,ts lhal tr or dE did Dl hrild or in{,mrc lh. FDFIy 6r th. plrDo* of
<br />-1.
<br />$ oBB ofrh. pmFny. am cxcluFiv.ly conhcr ins *irh lic.ned c.nlmclon ro .osltucl rh. pml.cl (s( 7044. BuiiB
<br />.nd Ps6{rion Cod.: l hc Contruclor's Lic.nr. L6w do6 nor aptly b !n ovnd .f pr.Fny who builds or improv.r lh.r.on,
<br />and *ho onrmcls for slch Dmj..lsr.irh 0 ConrEcto(s) licas.d ,,un!anr ro th. Conlmcrols Lienr Law)
<br />I nm exeDrl under Sdion ,B l(P('inihn.eison
<br />ltoil(Efs, coMPritlsaTtoN
<br />D&CLASAIIO!
<br />I ho.by rmr6 ud.r F@hy ofpnjuy orc offt. folLsins ddh6tio.i:
<br />_l havc rd { ill nDinrrn rCcd'llcdr.ofC,nNenrro Sclllr\ure nr \{rkd s' conrncn!.ri,, is pnvidcd ,ir h! S(rk l700ol rhr
<br />libor and., fi,rhep.rlor.mccofrh. trork itrqhrhrhc nerin nFsucd
<br />_l Mv. rnd will nri.rain wor*. co,D.n.ari.n iosurre.,.. r.qlircd b, s(rion 1700 6frh.l,1,or Cod., fo. rh.,saolmm. of
<br />k irsEd. My mrlcB convxdr6lio. irshm. mm.. .rrl noli.y nnnh.r ml
<br />loticyNuohf:jxpn !
<br />_l c.dirytul inrhcp.rf.mrnccorrhcwoik for *hichlhhDmn is iss.d.l rhall tur cryloysnyn.Nn in,ny nDnmr
<br />$ m ro b.om subj*t to rh. wod(.c cor{Eniarion Lwi .lcAlifoo8 and deE rhd ia l rLuld h..otr shJ..r to lh.
<br />worlcm' $hp.Nrlio. p6rsi.nB olsection l?00 of rhe t h'r Code, I sh,ll, f6nh*nh omply wirh rho* lmvkiom..
<br />w^iNlllcr loilu
<br />'o
<br />sw. mrk R'omp.nsrion 6rcm8. ir unLwtul. and 3h,ll subje' on @ploF lo qimi*l rEEhiB ord
<br />civil fin., up lo orc hundrcd tholsand dolla {S100,000), in.ddit ,,f..uD.aralDn, da Et.! !q rrov cJ fLr lh.
<br />//4"*--._Setion 10?6ofth.Iobor i .rc$ !.d afionPy sfesv
<br />!r!!ar !-ol
<br />I h@by .mrm uidr Forlly of !.r.iury tn l I rn lienrd u,rd6 Flvnio. 6fchq,l6 9 (6mrGi!g wnh Sa16. ?1,00) of Division 3
<br />of th. Burifts a!'d Pmf6.ioc Cdd.. nd oy lt.n€ is in tull to$ ald .fl.ci
<br />v63
<br />I h.r€hy.mrm unde. Fnahyoln.luryrld th.r. h a coNtudsn kndin! dB.By for the rcrlommm. olrhc *ork lor s'hich rhis Fmrt is
<br />msucd(sd 1097, Crv C)
<br />Attucatrtnl;ctA8allo!
<br />I tnrty r,nnn und.r ,$d lry orF.jury on. olrh. nnlowine dcclirdrio..l
<br />D.nbllion Pcmnk Arhe{os Norificrrtun l.d.hl R.sll.rtns I l ,llc 40. Pin6)
<br />Rcqur.d l,c(d 6tNorifi dFn
<br />,.mval rr. not.pdicohh r. this pmj.cr
<br />018vc i.fofln.rnrn tcoret. I lsr roonDlrwirh all cilyand counly
<br />.uthona q,r6.nrdirs of rhis Ciry and comry ro .nrd qDn $.
<br />atxrc
<br />'nenrional
<br />popcn, lir insrdr
<br />Applicxnt or Aa.nl Sigtr.iure:
<br />K</o,,
<br />,.,.,4L1/LW
<br />UNDER GROUND
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pi prng
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain Line
<br />Main Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing t/t ll 5t\fl
<br />Final Gas Test
<br />Meter Release
<br />FINAL Ilt't / t4 5N'd'6
<br />Remarks, Etc.Notes r r?-
<br />--i
<br />APPROVALS
<br />Waste & Vent
<br />Miscellaneous
<br />L.ndei! AddE$: _
<br />-------T------
<br />t-
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