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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OMd-auiBd Dc.hnttd
<br />I h@hy rflim u.d.r p6dry of Fjury thll I d.x.nrB fm th. C@t6dd' Lic.rc L.* for $. follwinS r@on (rs 7011 J B6ind
<br />Bd PofB.i6 Cod.) A., Ciry d Cout, whicn BquiB r p.mil to 6n!nuct, dld, inP,ov.. d.moli.h or rcpai! {y ttru.tutc pnd io ir.
<br />ir6c., .lso GquiB rhc.ppli{r lo. !nc[ Fftir lo 61. r isrEd,l!r.,rmr $l1t. or !h. t licd.d p6u&! ro rh! prcviti@ of dE
<br />contud! Lka!.d L!* (Ch. a 9, Cfficint qill't S..d6 7000 of Dvitia ! of tt. Buin6 ud Prcfdsid Cod.) or $.r h. d
<br />rh. b ddF $@fiDn.!d 6. bsi! fa lh. dl.t.d ddption Any viohd@ olscc oi ?011 J by sy .pplisr fd ! Fmir !bi4 lhc
<br />!p?li6t to s civil FElry of n.r Mc the fiv. hn r.d <bua (1500)
<br />I
<br />'_1,s oMd ofd. Fopdry,6 hy ddoyd wirh w.sd a $.ir hl.6dF xid. *ill .lo tnr *or* xd th. nrudu. it lor inhd.d
<br />tr ofrsld fd r.l. ( Se roaa, B6ind 6d Prcfdiod Codc Th. C@b*tdt Lic.M LN dc nol lpply b u own.r ofrn. prcFly
<br />eho buil& or ihFovo lt.en, ud vho dE sch wort hiE.lf d hdclf d th@8h hi! d hn om mdor.q Fovid.n lhd tucn
<br />irprov.tma e nor iriad.d or ofi.r..l fd !.1. lt ho*.vd, th. buildini s improlhdr is told ei6in m. y.u of compldi@, $.
<br />OMn-Builda vill h!v. rh. buftt n of FDvirg rh h. d rhc hol build 6 mFov. to dt. purpo* ol s.l.)
<br />_1, a own6 ol th. prcp.ny. m .rcluiv.ly cotratinS *iln licd.d .onbrfuE o conrhcl th. poJ(l ( S.c ?04a, B6rnd d
<br />Profcsio Cod.: Thc Cotrtd't Lic.@ trw.loa.or +?ly iou owncr of prcFry sho build! d i69ror.s $!r.on, od who
<br />@re.! rq luch proj..B wirh a Col'tub(t licB.il pud8r ro th. cdreloa, Licdc L.w )
<br />_l ffi.xmF und.r S.crifl
<br />-B
<br />& P C. fd thi! r.ad
<br />WORKEIIS COMTf, NSATION DECL{,R TION
<br />I hftby .Ifim u.lq Fn6lry of Fju.y d. of Lh. foll@ing d*lu.rid
<br />_l hav. sd will minriin . C..rific.r. ofConr.nr roS.lfl @ fd *dkd' compaiaii@. a Fovid.dfdbyS.cnonlro0ofrh.
<br />Lahd Cod., fc Lt. Frfdfu.. of thc wdt fd *hich rh. p6nit n isucd
<br />Zlh!'.ed*rllhenEn*dr'.@Fr3a!o^'uume,sEqot.dbyS(tionITOOotth.Lab.rCod.,iort.p.rfmuccofd.
<br />wo,* fd *hicll thn Frhn i! iJ5ucd My wort6' cohp.nrlrid imu.da .ni dd policy numb.r r
<br />Policy Nmb6 ErDi6
<br />(Di! rcti6 nc.d nor b. ffipla.d if $. Ffrn ir for On. h6dr.d doll4 {t 100 } 6 16,
<br />_l cdiry d{ ii th. p6fmc. oa$. wo* for which fii3 p.mit ir i!!u.d, I !h.ll .or .mploy M, Fs6 in d} m nc, so a ro
<br />b.cM.5ubj.ct b $. worlc ' .mFnsutio laws ofCll
<br />of S.ction l?00 olih. Labd Cod., I sh.ll
<br />t L
<br />WARNINC FdiluElo s*ur. *ort6'ro eimiill potlri6 ad civil
<br />finB up to 6. tudrd thourd .10116 (3100,000),ii .dditi6 10 lhc c6l of comp.N.ri6,
<br />lh. Lrbr Cadc, inlaat &d .nd.,'t fB
<br />vid.d fd rh. S.dion 10?6 of
<br />LICSNSED CONITACIoTS DECLA,RANON
<br />I hftby lrfim 6d. p.r.lry of Fjury thrl I m licd.d 6.Lr Fo$ioi of Ci.ltn I (comdcins wilh s.cion l00o) of D vitio 3 of
<br />thc Aqind Ed Prof6tioj3 Cod., bd dry lic.e i, in 6rl frl. ad.f..r.
<br />Li
<br />t
<br />I h6.b, aflim udd F..lty of p.rjury 6.1 th6. is a coroddid lmdinS l8acy fd ln.
<br />i$u.d (Se 109?, CiY C)
<br />AIILICANT'S Df, CI,IR,{TION
<br />Dcmoliti@ lmiu-tubalo. Noii,lcd@ Fdd.l lr8ddi@r (Titl. .0, Pd 6)
<br />_ R.qun d L.n6 of No.ific.ris
<br />_l c.niry dat lh. a.rld, r.guldion! Egading ab6r6 lfiovd s. nor rpplicabl. b fin Foj.cr
<br />{,*",b cocr I !3rd to comply *itt dl Ciry sd Cou.ry
<br />ru6on& r.F6cnatrv6 of d'i5 Cny
<br />abov. nati@.d prcp.fiy
<br />^,},(,*-,*q\$.v.^t
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-U nderfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<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 />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprlnkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />l(\
<br />FINAL 10-l - \1 \)41U
<br />Notes, Remarks, Etc.v \J
<br />covnag. i! unhwaul, dd sh.ll
<br />of thc wdl for shich $R p.mir R
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