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PLUMBING-INSPECTOR RECOBD
<br />APPROVALS DATE ID/SIG.COMMENTS olvNllL Dtrll-DF:R DDl.( ARAlr('N
<br />I hcrrhy ,rlnfl u M{ n nrlry ,'i p.rjury rhrr I crcn,rr ffun rhc (tnnrdrr' t.r.Nc us tur lh! tulL,$rn8 rcryn ( ss.' ?o.t l 5
<br />Ilunks rn,l llolcsi,in i c) Any Ci, ur (,)utriy trhrh rcquir.\ r Fnnir r).on{fl'.r. Jlrcr. n|]n)rc. d.flilirh '{ m n 'n
<br />{flururc. I,itrn, ir\ n\u xc. r]n, rcqtrtrc hc rtplrrN 1,, \u.h |Inn t,lilc | !8ncd nrlcnr r ri fu.r lhc i\ I'ctnsd ldruant
<br />kr rlt ,n,vnion\ ol itl Co krrkr': l-f,cn*d t- s l(hnprcr 9. (-(rnEring $irh Scdi,nr'7(Xx] tf l)ivnir{ :l ol ihc Bu\itu\\ Dd
<br />Irrolr\sui\C(iloorrhdhcor\hci\crcnDlrh.rcfroa,rDdrhch,!\turtf,illeg.lc\cnr|,ir)n tryr(,hrn,..fScctnn]lrll 5hyrny
<br />ifl'1(rnrlhrrp(nnir{'6lc.r\ihcq,pli.art)n('v,lt)ctrrlryofturtrrtr.lhatrliv.hundrddolln^($5(Xr)
<br />-1,
<br />a. o*M of lrE 9,oFny, {n my.qilotes wnh *lsd s lh.i. slc onF.sriion. wil & tlt *dI dn d. dEre i! ml
<br />irrcrLd or ofi.r.d fn sL (S< 704-r, Bn!ic.. ,nd ftDr*ioG Cod.: Th. Contdltr 3 ljc.ne U* .rocs mr q,, y b an o*ftr of
<br />rL rioFny wtE brildr or iIpmB llEmtr !d wh. dB nEi x,ir hinsrr or h.mlf o. lhrcush hls m h.r o*o cmploF(
<br />proviLd rhrr iuch itrriD\efinr N mr i .id.d trofi.id fm €L lf.1,*E. rlt tEiUinS d irlmwrnl is rU within 6E )d
<br />oforr{,hiotr tlE OwF Bui!.r *ill hrE llr hs&n or F.vin8 tlEl ll or {E dn ml hrld ( intfts (E FoFrly fr ll, lfo Fe of
<br />l. aso*m.ofrhc Im'Icny. .m cr.hriEly cbnthrr ing sirh liensd .onlrrl.s l. on{ru., ltt pn)Fr (s.c ?(44. B!\ircit
<br />and hnt ssion Codc: Thc co ktol. Lic.n$ Llw dss mr lr,ply ro d o*n.r of,mFry *ho huildl nr itolhv.s rh.ro..
<br />rnd who onrmdr ftr slch PFFG *nh ! C. s.ro(O lic.ncd luKutrr tolh. Co.r[ct.a1Lt.ns tiw).
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<br />urcicnrpr un<lcr sccrx,n .B &l'C ti,rrhnrcr{rr
<br />lhr( Ocn.r
<br />l!!]3lilr8!:.llrutl:!-s,l-tlur
<br />l!Ill21-&\.tl!l:
<br />I lddh\ rlltrn'utrJ.' t)c x1\'ntu1[r!{tr.1rh.ni[,trtr'!,1.(lx')rk]r
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<br />hrvc d will minlain r c.nifr.l. of Consnl lo Sclalniurc fo krts sryrn$lion.I PmviLd for by S<ri.n l7m of llE
<br />Likr Cod., t r rh. tdforlrc of rh. wMk for *licfi rlE Fmil ir !.ucd
<br />I h,v. and *ill dinrrin *ork.ri conlins ion inrurnr.. oi mqui(d hy Scclior 1700 of lh. lrw C.di, tu E Frftucof
<br />rh. wort lor whth lhis pcmil ii irn d My *0*64 d,nwhstiiln iNurrmc corir a,n Fti., nun$cr E:
<br />ft,li.y Nu rh$
<br />-hPitc\
<br />I ccnifylhat in rh. I,crtortur. or rhc wor* forwhi.hrhis n rmn n i1\!cd- I \hall nnr .r'ljkry .try pcrstr in lny tuntr
<br />$ ,1n, tt6m !uhj.{r ri rrE "oltcr oqH{liotr lo*s nfcaliruf,i,, ind,!rc lMl if I \h,uld hcorc snhFr b rlE
<br />wud(6.onFnslri.nnrovirhnrorS.dion]To0orrh.L,hnCdc.lih1ll.lonhwirhomtlysithrhMPn'vlshns
<br />S..rnr 1016olrhc I rhtr (itrlf idrr.{ r r o ry'\ r..\
<br />ucrilsl;lr_QNl&t!1aB
<br />IIES,AXAIIOI
<br />ol rh.lthtrr( rtr(l Prntsi{,n\(ndc. ntulnry l'(cr( n ir iull nr.c !nlr11..r
<br />s)Nsr&JrllaNtllu!1;-aliliNtr
<br />I hcr.hy rlfirin u do Fidky(l pLiury rhur rh.rc i\ r con(ddion LMne i8.ncy ntr rhc n tnlrnwtc orrh: trtlk Lr shich
<br />'hn Frmir i\
<br />k{,.d rs.c 1lr7 Cn (' )
<br />I rn,l(r'\ Nrnr
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<br />i-ttLlCANfI)IteIABiIlltlN
<br />Ilrrhv ltinuf.lcr |{nrlrr_ ot p('ttrr_ otr.,,frhc n'11,q trrg dcehrrri,)n!
<br />t)cm,lirtrmPrrnrir\ A\h{o\N.r'li.rri!' IcJcrrl R.!tr[rntrni I lt1lr. l)rrr6r
<br />Rr!utrcll lrrrcrol N.rlli.rri{n,
<br />-l
<br />.cnify rhd rh. t JcnI E8{hlionr EgadirS .sbc(or rctr,tal uc no' arfliahL lo rtG Pojc{r
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<br />.dify rhll I tEvc rod rhi. 4pli.dion dn ar. rh.l ln. .tnw inforrElhi i\ cffir, I agB lo smply eiln . Cny rd Cou.ry
<br />o.diMB$ and Srar. b* Ghrin8 ro blildinS coNrtucrioi. nd lErt y lulhrri2. Etft*'n.t iE! ot rhi. Cily .nd County t.' cnld lFn fi.
<br />lbok m.riorcd FmFny fm insF.rion pupos'
<br />Applirnnl or ]ttol SiEnnlun:
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under Iloor
<br />Gas-Underfloor
<br />Buildino Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipino
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P-trap/Drain Line
<br />Main Draini Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary SeweriCap
<br />Back Flow Device
<br />Rouqh Plumbinq
<br />Final Gas Tesl
<br />Meter Release
<br />FINAL 0 --r2It//-?.t / .Pfln ')qL#aV
<br />Notes, Remarks, Etc.ul
<br />POOL/SPA
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