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APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under lloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ter
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouoh Water Heater
<br />POOL/SPA .1
<br />P-trap/Drain Line Xl>,/2q4.-r,Wqr /
<br />Main Drain/Pool Pipino | |1 t4 bf\Na ,*g')
<br />Fill Line/Back Flow \\
<br />Pool Heater/Gas Line '7 l0\1d Dfbfntr wv4\\
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />T/tMo-Final Gas Test 1
<br />Meter Release I ty
<br />FINAL 4/?lbz't
<br />Notes, Remarks, Etc
<br />OITNIJi XUIl,D}:R DELCAXAIION
<br />I lE,.t! rffirn lnld FMlry 0r F.,ury rhr' I a .r.rr, rn,n rrF cl,.brdrn Li!rc ljf, ror rrE t()lhsm8 (a1n (5..70.115
<br />Bu{incs tr A!rcs('n Cdcl Any ( iry or Coutrry rhich r.qutc\ ! rEnnir ro con{ur. !hs. inp )vc, dcmlnh nr rcrlt nnr
<br />dturJ@. Fir b nr $ud, rl{t Etuirc. rh. qDltrr fq sn rErn lo [k ljsftd {J.n. th.r L or dE ii lr.n<d piord
<br />k) rl* pfl'vtio,r of rlr Conrncrois Liccnsd hq, ich!fls (r. Comrmhr vrrh S.crhtr ?{xx, or Diri\io l! ol rlr BunE( Md
<br />Pnnc$ion. Ci'd. r o, rhd li d sh. r .r.n+r rtgrtof, ! rlx tlfir for rh. llkgrd.tcnpi,n AntrsLrb.ofSdinTOll rhrrry
<br />lprlMnl ntr ! Frori {lnr.cls Ih. lrrpli.ror 1,, trcisilr,.tullr.r mr Drrcrhlo riv. hundrcddolhrirS5(xr) I
<br />-1.
<br />r o*K of tlE F.p.ny. d Ey.rploFi wilh ug.r s Et ol. o.Fntllhn. wul.t tlt *nt rd tlt rnde it t,
<br />irdiLd d ofi.Ed fd r!. iS(.1X4, Boti6.!n Plof.si,B Cd.: TIE Conr.rr. Li'G trr &.i nn 4Dl, i6 h orG ol
<br />0E F!Fn, wls boiUt or IqrcB dEF( !d wl$ .LB trh Fn tlIslf o. tsElf or deltn hi! or hd oM .nploy..t.
<br />[Eri.H rh.r h i'lFErtllG ml ird'd.d do&cd 6. rb r. hoEc..lr hlilit rilF(rc,Ed bi5*rhnG Fr
<br />of oipldiE rl! o!"*r Build *tll Ew dE t(rl.d of For&* $a l.! d J. dA 6l d! or h?!E tll Fotfi, tor ft Frpo.c of
<br />l.rosnsolrlr.Foncn).amcicluslclr..tkrtr,Etrtrhl'..ml.onnn(nn\(r.on{tuirhctrol{!rS( n*r. Blnft\
<br />rRl lh,l8\rr('(lc lh.(l ncktrrl.i.cnrl.rtr(1,)c\troirrrrlvr)rtrnt'Eroln(,p.rry\iohurl'l\.,nnpmtr\rltkon.
<br />nnJ $h. rodxr( i{tr \u.h Irl,FJ\ rih ! contr.ki n lr.n{a! N^ud n) rh. (tdrdor'\ LKcn* I i$ r
<br />-l
<br />mcrtrF !n&, SGlbn-. B. t P.C tn rltb tge
<br />lh. OE
<br />!0af,!&t-clDttEN$rlta
<br />IECIAf,AIIQ!
<br />I h.r.hy iflirnr un n FMlry or Fjury oft orrlr ro,l,'wine dftldmrii,nr
<br />lhdrrrl{nlmutrrrlnr(tr'rtarco,('acnrt,S.l,,tr\urror$ortc^ortr!krn.dF'rkL(lntr$yS(,n'nlrlx)rlrlf,
<br />lih,(ixk tur rh( p(,lormtr or rh. $,trk r,tr {n.hrlr FrBn n i\lunl
<br />F;.,'d sill Einlti! rorldt eqENtirn imnE.. r. cquiEi by Sdrhn 17fi, of llt t hor ft&. ln dt lEl(,trrN ol
<br />l,r \htrhrhtrndnrr A^{kn il\rxrt\i tr1rtrn,rY,. (
<br />,/4 /-2o
<br />-licnilyrlx
<br />rnrh.p. onBmcolrh.$ork rin*hi.trhrFrmil n r\!trJ.I \hrll nor cmphj !n) F^on'n,nt'tunkt
<br />$ nr k, hc(orr \uhl..r (, rhc f,ork.r'dnnt'.nrloun hsr ofCrli(mlr. rnj ll3rr rhor rll \truld hc.om $l'r{r t' ih.
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<br />lr \RNlNll I r htrr r) \L.n'. {orkr^ Lon]Ftr\rr o .,\.,rS.
<br />!tr' rn'.\ trf n, Ltr'. 1, ftk.'lrhou..trkl Ll!'llr\ rllrrrrrrrr n,
<br />s..rtr .11176 o1 rh. I xhtr (ixlc. tr rrc! trnn trrntrtr.r, 1...
<br />',,,., C- 2 j-'Za t$ttti,,nr:
<br />_\tr r. dmi n rrn'lri.\ ind
<br />im8.raFovirLrtdllE
<br />DSSIJSAIIA
<br />I hcrh! .llrn ud.. rEolry of rBlay rhrl I rn lnr.Ed !i.L. lr*ni.n of Ct!fl( 9 (nnr,lmins vith sshf, ,txDr of rrnnb. ]
<br />ol' rh. Busi*\c Ml ftor.$mN Co&, !,n nr, li..ns. n h rull fo^! nfll .lld
<br />( 0NsTtucTl(rN I }\rtNG ac$rlcY
<br />I hcrhy lrliro undcr Fnrhyorpojuryrhlt rh.r n !.otr{rudi'n lcndi s rscky ft{ rh. rt,ronEft orth. *orl tu *hichrhir Frmn is
<br />ssudlr*q lD, C,v C )
<br />ATELITJAIUEIJJAAIIIN
<br />I tarrtl, aflim unncr I]..!1,, ol Flrry oft ol rh. follo*inr d(l.rurio.r
<br />D.mlilno P.r"ft slEstoi |&tinc{ion kdcrll Rclul.rnnr l l nh {L P.nO
<br />-R.q!t.J
<br />lrn€r of th ifdi,,
<br />-l
<br />enif, rlIl rlE tu rl EluLrhd r8.di.! dEnor Em[l @ mr qlrrlt.ib ro rhk tftFr
<br />D(<ir, th.t I trr Eld
<br />'in
<br />q!'lt{hn .n tr.E ,riir ir dr.rr I.!16 r.6oply *lh.ll Clr.,n Cd'r,
<br />,tr |h,,.,.t,,r..nr,trnr\ !,1rl,h (ir\,trtrl(itri i! r,.nh nf!, rlr
<br />drE mnrnEd nRIEny fd i.rFdbtr
<br />ApDll.r,l or &ml skrtlE:
<br />,z -,", /-zl--z-'
<br />)wM-
<br />PLUMBING.INSPECTOR RECORD
<br />bl.lr'i Add*r:
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