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PLUMBING-INSPECTOR BECORD
<br />DATE ID/SIG.COMMENTS Hr I r)lra rrFr ( rLr Illl\
<br />I haby .,Trr uid FEr, or tdrr.y lllr I o .&trpr nEh dt conr*r6 Lttc lt* fq dt folbtiia lqs ise.m3lj
<br />Burim$ rn Profd.ion C.dc)r A.y Cny or Cdnry *hkh ttqoiE. . pcni ro @Bttu.l. .Xd. iipnt!, .lmllh or EPrn iy
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<br />ro rh. FovLin ot rE C6dr-ro.! Li.d.d l,* (ctigrd 9, cffirira rhh s<rid 7@ of Dlvi.irn ! ol dt Bsian .rd
<br />PreEBbnr corL) d lbl Edr|i L.&n$ lh.ttito.,n tlt i.b lb. tE.lt|!d cr.rlrin tt., vi,hi, ofs<ri,o ?o3t.5 b, r,
<br />elird lbr . Fnn {bFri rh. .tplkrr b. civil Friyol Dl Ifr lhd flG ludtd.t U.n (tgD).
<br />-1,
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<br />olc,+ki^ dE o,E ooildd *fl bG !.lrb ofF il Or lEril.lil d b.ild d irT.lc !r FFty h u. F tco,
<br />-1,
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<br />!r&r D.rt, ol FFy m ol ltE fol
<br />I rhtr (itr|,.. i'tr rhr Frknnr tr. ff rh. *orl n, *hi.h lh< tf,'ntrr tr ^{'c,l
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<br />-t
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<br />mrt6 snFdrhnrmvnti!of S.dtn !?mof dE t ta Codc.I {rll lonnsihonPlr *hnlb.Prevttbd..
<br />rEnSc n uhrtuL ]d rnil d6prrF loaimi l Frlai rn
<br />.ihl ,iEr u,t ro om h.nEn ioi. dr{!t s
<br />'rovlLd
<br />tor rlr
<br />/2
<br />, ol Firy rh.t I m liensl 9 {ol|ItBiry rnh Sdri'n nII)r or Dniihn l
<br />.l
<br />'lE
<br />BniK.,n Pmf.siN Co&. rn ry ltff ir h
<br />gNErauquoll{lDIljlcfrcl
<br />I h.Eby rrrn u.iLr Fnllry of Frjlrry rh.l drrc b . ondtuclhn lmdins {*y fot iL Ffnf,tut of llE tr* b, ,hih lhk Fmi n
<br />irfrd {sN. :t097. civ. c.r.
<br />A@II]AI{LDECI.AXAIP!
<br />I ffi,.trmoidd Fn Xyof Friury oc of llE folt ei.a &.h itu:
<br />D.mlii,. ltrnnl^rt n6 t{orift.rh. ttrl.nl Rc8lbri8 OtL &. hn6,
<br />-8.qui!d
<br />l,n6 ol Ndifrrir
<br />I ..'r,lv rhxr rh. hrlLi,,lrrrulirio Nrrr'hfr i\li\!,^ '.trnir,lr,. rI x , tr rN. !n r[a J]',,r\r
<br />I dny fi. I IEE Ed lnit +?lilirn ,i nn. rhr rh.inlct in ir srEt I {E b otrpl, ,ft . CIly rirl C@dy
<br />ibr ftnri'Bn F.Fny fi,z:;7ry",
<br />UNDER GROUND
<br />Waste & Vent t o/t s/rt *uoa /L-
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildino Sewer to/t*/rt
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipinq
<br />Rool Drain
<br />Tub/Shower Test rlalr,17l/.'ilr,(fr2 )
<br />Rouoh Water Heater I rI
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main 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 />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rouqh Plumbinq tlL4lti Qt ,,<lr^zt,D D
<br />Final Gas Test tt I )t
<br />Meter Release
<br />lltlV 17,.n^rr-fr ,)
<br />Notes, Remarks, Etc.ul
<br />APPROVALS
<br />TOP OUT
<br />FINAL
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