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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Waste & Vent
<br />Water-Under floor
<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 />POOUSPA
<br />P{raplDrain 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 a.
<br />Sanitary seweriCad 12-17-lI [.LA\
<br />Back Flow DevicY 7 \./
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL I '11- /f ',a
<br />Notes, Remarks, Etc.
<br />OWNT]R AI II LDI'I, D[LC RA'IION
<br />I h.r.hy a,llrm !nd( Fn,hy ot p.rjury rhdr I M .r.mnr fh6 rh. (nnlffrom Lic.nsc Lrw aor rlf, lbllowi.B r.0qh (S.c 70ll 5
<br />8usn.$ and ProL$ion Cod.) Any Cny or counry which rcqur$ a rdnxt lo c'nilruct. rlt.r. rmrm!., dc'ndl'rh .r qdn nny
<br />nruc'urq pror ro ils Rsurrcc. al$ rcqunes Ihc arpliconr lor suchptrml lo lilca lisnd {ar@ lhd h..rsh. ( I'ccnscd tumad
<br />ro rh. ,mvrions .fth. c.nrrctois Lic.nscd l.v (ch,!rer 9, Co,nnEminE sith Sedio. 7000 of Divhion I orlh. 0usin.s. nnd
<br />P icsb.s Codc) or llsr lEorch. h.xemlrrh.r€fnrnr.ml lhtnosis hr rlr rll.s.d .xflpr ion AnyviolarionofscclnnT0.ll sby,ny
<br />aprlici lor s,.mir $$jNls thc amlicanl lo a civil pcmlly ol mt mrethin nrc hurrlrcddoll.E(S50o)
<br />_1, .s o*n r olrhc ,n,n ny, (r nu cnrrloyes {'ir [ $ r!.\ as rhLn rnc (mFcDst$n. u'ill d, lh. uo.k el lhe eru.1h n n{
<br />intcrH oron rdl nn slc1567&4. Uunnesslnd l'roa€$nns (ialc lh.('o .dor'sLr..*Ltrsdoesnor!I)pli"roinosxror
<br />nr nmFny uho tllils.r rmnDr$ rhe.o[ a'rd $h, d.cs sch rnrk h'nEclfor h.^.ll or rlmu3h hh or het o*n cmnl,,tc6,
<br />pnrlided rhrr such impmrtftn* -. ftn inr.idd or onaturd f.r slr I i, ho\rc\tr. rlc nuiklrtrB or inprertmnl is {,ld $ hrn one tsr
<br />olconDt'hc d. osn.r Bdld6 will h.!. rlr burdcn.hmvmg dm h. or shc dd d t^rld or iq,mve rhc pnrpen, turht trqi\* ol
<br />_1. 6 dwn.r 6flt. tdr.ny. ao dclusiv.ly colnEchs snh lic.n*d codmtou ro onilrud ltE nmjdt (Sa. 7044. Euii*li
<br />ard PtnG*hn Codc: I h. Conrdctoat Lic.nF Lap do6 mr aprrly to u ovn( ofprop.ay wh. buildr or inlov.s ln.r6n,
<br />aod who @ @r. for flch p6i..t! w$ r coirEcro(i) licaqd rlumaE b rh. conr.rcrd s Lic.ns. Lnw).
<br />-l
<br />am cx.mrt !nd.r Selio.-, B & P.C. tr fii-r ,.Mn.
<br />Drr.: Om.r
<br />t4a8xE8l:C0.!tPi!tauoB
<br />DECT.ASAIIO!
<br />I h@by ! mm undn pc,ulry ofn6r.y oc ofrhc followinr d.cladioi.l
<br />I tovc 0.d s'ill mrn(ain r ccnific0rcofcone ro S.lf-l.surc lor rvorlsr anlp.nllrion, as pNvid.d lor by ser bn J700 o i rfu
<br />I ai,or Code. f6r
<br />'h.
<br />pnfodnr. otrhc sbrk ior qhch rhc Icmn N fru.d.
<br />I hov. .!d will mhinrain wo*cB compcnsr ion insnmc. as Eruircd by Sation 1700 of rh. Lrlor cod., lor lh. oertomrnc. of
<br />ion in$mm. mmcr &d Flicy ounbc. m:
<br />L '\t
<br />-l
<br />*nily fiar in rh. t .fomarcc ofth. wo lor whrch thk rdn 's ilsrd. I shall ml.mployanyp.mn in ant mo.6
<br />$ I to b.6B flhjel b rn wo&e' onD.Narion l.ws ofcalifomir, and asE that if I slr,uld h...m. .ubjcr io .lE
<br />rc*m' oqrnerion pmvlqioN of S..lio. 3?00 ofth. Lrbor Cod., I slsl!, tonhenh tuhnly wnh lb* pmvkioB.
<br />WARNINC: Iailu.. ro *uc sbl{.6' @@.n$ioo &v.6se ir unhwtul. .nd .hall $bFt .n dplorlr lo ainjnol lqslrid axl
<br />on. hun{lrcd rhousand dollr^ I in addilon ro rhc s.t ofmmn Ntion, dsms., si pmvil.d fo. rhr
<br />!rc!"!Blt!uL
<br />I heEby.fiim u.d.r r,.mhy o alcrjury thrl I am limxd und.r pmvkionofchlFld 9(co'nnErcins {ilt Selidn 70txr) oiDivision J
<br />6f fi. Ausincis ond Pml6si6ns cod.. a,It ny licmq ir io tull f.d .nd
<br />A t15<q
<br />I lEEby.firoufrler penahyofFrjurythat lho. is 0 oNn,cron lendm-s asency lor rh. p6n,mtr*c.lih. *ork for {h(hlhh pda,it h
<br />rss!.d(sr 10e7, civ c )
<br />AfILICANLDIiCIAIAUA!
<br />I h.ntiy.fmund.rpedhy.lp.ruryon of tnc folbs,n8 dcldalons:
<br />D.m,l '.n P.m[r A(h.(oi \.nl.rr'on lj.deralR.CUI nN(I 1.40. Punir
<br />Ytq,*a rarc,"rNo,n*u."
<br />-l
<br />c.niry tllll the fcd.ml E$Ltiotrs Esadi,s rshcsros r.mEl e. er .DtliahL t rh( tmjcd
<br />_l c.nify rttrr lll.lc r.d lni srpl
<br />odini*.s rnd sr . rjws r.Lrou ro
<br />and ftrc rhd
<br />'h.
<br />oh& inaomllion is $ld I alN ro 6mply,ilh
<br />l\ ard hdeby aurtnrizc rqEEd.l iv.r oflhh cny t,rd
<br />it{)!. rnnoiLd tn,p.ny lirr
<br />Appll.snt or Ap.nl SI*nsrtr
<br />llEC'
<br />UNDER GROUND
<br />Gas-Underfloor
<br />C
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