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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS o\!NlR Btrlt.Dtit Dt:t,a.AR JtoN
<br />I her.hy xrltn trnder Nnrky ()l n.rtury rhd I rn dc lnr li,nn rhc (in[racr.6 l-iccrs.lxw ftr itu n,TbB'ig rcrqn,lsc.-70]l 5 ,
<br />Bur'nrs\ r Pn,lisnon Cdlcl AnyCnyor (oud! qh'.,r rcqutrts n p.nnir (' co {nrcr, rlr.r. mn(,ve. ir n,lNhor rq r iry
<br />ntu.rurc. !.trrb is Fsincc, als requtrcs rhe rpnlcid ,nr suc[ lcnnn ro lilc x \ilncd {.r. r.ir rh l*.r d]r tr li.rdrd Nrturnr ?
<br />ro rhc pnrvNkrs oirlr Contracktr s Lice scd lr* lchrnrcr,). ('d!mcnc'n! {rh Secrion 7l)0o olD'vFnn l.fihe hrincss ind
<br />.Dr[.&r li,rrncrn suh](rsrhc.ntl'.a brcrvlncrllyolnnnnrcrha.ny(hundrednolhn($5r)rr)
<br />_1. a owr olth. tftI.fly, or oy dtloycs wnh wasB os $eir sl. mmr.nslion, will & rh. md{ en rh. sltutE is mr
<br />n{.rn d orolf.Ed forsh (Sn.7044, Busircs. a.d Pm&s.i.di Cod.i'Ihr Co r.clols LE.r€ L,w do6 mt rpply b e ow..r of
<br />rh. pnFny wts ltril& or inprbB ttE6.. &rl wno &B sh trn hims.lfoi h.6.ll or rhoueh hir or h.r own.oploy.*,
<br />prcvid.d $!l sch iDlotnEll ml idst.d oro,li,rd for sk. ll tbwE,ltF trilding or iqmmnt is sld within oN rd
<br />ofBtrpkiol\ lh. O{r. Builld wiu lat! rh. tod.n ofntuins lhd l* or ilE dil mr hlild or itrFrbr rhc pmFny for rlE purpoE of
<br />-1.
<br />a$ow..toflh.,,mndly. m.xclNiv.lys Ecti.8 wilh lic.nEd 6d6cro* h 6,sEd th. ,mj.rl (Se ?044, DNims
<br />ind Pmtunbn Cod.r 'l h. Co r6doa3 Licenk Law docB mr rppl, to u o*n.r otpop.rry ,ho builds or iiFro!.e rncr6n,rnd who onrmds ror sct lmj.cts wirh a co @to(o lh.ns.d !ua@r io $. Co.r".tor'3 Licctr€ Law).
<br />l.n.xemrl un(ln Ser B &PC litrrh(rcasrn
<br />EAsAEE6:90Ufj!!AL|!!!
<br />DECIABAIIA!
<br />I t ,.6y aflim ud.r n @lly of rcjory om of rh. followins d..ladioa:
<br />l hnve anl q ill mrnrlin r Ccn i,ic.rc olcon*nr b s.lrl8ur litr leor kss conrpenstion. .r pmvded lor by sdhon lT0o o rrlr
<br />l-.hor Cod., for rlr. o.rr.mnc.ofrhc "ul ror whrch rh. !.nnn k{cd
<br />_t h,rc rnd sall oainrlin solle4 comp..crtion iBumm., B r.quir.d by Setion 1700 of rh. tlbor Cod., for tb. Ffollrw. of
<br />ih. w6* for shich thi! r.mil i3 iscd, My{otkn ohp.Mrion ituumrc. ori.r &d poli.ynumb.r @:
<br />I\)l,.tNun,h.r Lxntrcr
<br />I ceni,, rh.t in lh. FrformaN. oflh. wo* for which rhn tl.mn i iss.d. I !h.ll mr coploylnyr.6on in rny hnnnc.
<br />$ &r h b.6* $bjet to th. erlcd otrlp.nqlk n l.u ofc.nhmi!, .id isE. rlql il I sh.uld bcsm .ubJ..l Io llE
<br />wolt6 @or.nstion tmvisioN ofs.dion l?00 oflh. L,bor Cod., I ltDll. fontwiln onp'y {ith lho* ,'mvhion
<br />WARNING: l'ailur. r. sur. wo.k6' onD.hsrion s!@a. ir u.l,wtul, n t rhrll iutljer ri mplorr lo riminnl Fmhid rnd
<br />cnil fims ur lo om hundrcd llDuk.d dolhF (1100,000), in lddiion ro rh. con ofcohp.nsrnn. da@!.r ai pmvd.d for rh.
<br />tlrffi
<br />||ECt ^ru.rflhI h.Eby imrmunds p.Mhyolncryury $d I nn liccn*d und.r rr.vi3rnolchaprc. q (orn minr wnh Sdion 7000)ofDivisi.n l
<br />of lhc ausinc$ r.d PmLsionscod., and my l,c.B. ir in tullrorc.. .fr.!
<br />Lren(Clrq'-L
<br />I h@hyoItumu l.r p.n.llyolp.Uu.ylhat lh.E 6 r coNddion kndin8 a8.n.y lor rh. pslomtu. olrh. w n)rwhthltin mt ir
<br />issu.d (S6. l0r7. Civ. C )
<br />arrllcalt-Itict AEatro!
<br />I lErhy arhh und.r F.any ol ncrtury om ol rh. lirkNins dcchnr ions:
<br />DcmohrmnP€rn r AshskrNoriliclrionliedcrrl ReBUlnrnns(lirle40. Pd6)
<br />Rcqur.d l-c dolNdrifi dr8,r
<br />-l
<br />c.nit th rn fc.t ml rcsul0rions Eg.dine asb.nos r.noul nc nor ryllicrbk io lhk ,,mFr
<br />Icerilyrhar I Mlr..adrhisapphcdionandsrar.lh the ahov. inlommr ion i cord. I asre ro .omplr wirh sll Cily and Couniy
<br />ordiEnfts ,nd slar. lrs chlins ro hrildins onsltucrbn. &d hcrcl'y lurtnnzr ..pEsnrarirts olrhh Cny 8d Cou.ry ro . e lFn lh.
<br />UNDER GROUND
<br />Waste & Vent a€)J€E r-Il d',,, Vt ch4)
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterce ptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent pbtf fi,-Z49 x4 /fXt I JE€ r^-U| o^.'\6's cr.nx
<br />nVater Piping il-t5-lK
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />lr4ain Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanita ry Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL l-S-t1
<br />Notes Remarks
<br />ktltw
<br />/./\
<br />h,WJU
<br />Etc.
<br />Sccrtrn:1076olr1r I ihn(ixlr. mr$€sr rnd
<br />D,", tO -1 ? '19
<br />,^,,,to-17 -lg,
<br />L.nds.t Addrc$
<br />-
<br />al,olt Nnrioi.d rmpeny f('r
<br />,,,. iO -17 7F
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