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DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Building Sewer
<br />Waste & Vent
<br />Gas-Underfloor
<br />Water-Underfloor
<br />Area/Storm Drain
<br />I nterceptor/ Clarifier
<br />TOP OUT
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow ---7
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />)
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test //1,-
<br />Meter Release
<br />cNotes,Remarks
<br />FINAL
<br />PLUMBING.INSPECTOR RECORD
<br />Osq-AuiEo Dalir&on
<br />I h.r.by .lA,m unda p.uhy of psjury th I .h .x.mpr form th. Conu.do6, Lic..e Ljw for rh. toltoving raon G@ 703 I
<br />::1-1_"1:.,1..,T*l 11' lil or c.oudy *hich r.quc I Fhtr ro @Nrrr4.kq. mPo*i d.mrEh or r.ru .nv stucruq el6r b tr,lru.hei . Eo r.9u!q o. rpptu ro, .u.h Fhn b tu.. ,srcd ,.rcm.d rh.r k or !h. ! t@oca puouinr ro ric po"cou ot ttrc
<br />_::ll::::l Ly*i* ,*,,!qpG e. comm!rc,n8 w r serior ?ooo ofDivi,ion , ofrh. a6hs,.ryr prof6doD cod.) orll h.orba! ror $._rll.3.d q.mplion.Any viohrb, ofseLon ?03I J by &y.pplis for I p.rmn Nbj.cB d.rrDhenr rorcrrtD.Ellrot er mr.lh.n fiv. hundt.d do .,r(ttoo,
<br />-1.
<br />B owno ot'h. P.opcnv, or mv.6Dror.6 wnh {86 rr rr,i. rcrc@hpcN.rioi! wir do ur. m Dd dt rn,as. n tur i.r.trd.do, ofrq.d for {1. ( Se.7044. Bqi@.n.t proGrbE code th. cotrtubii Li@Nc lrw do- *r.ppryi. _ o*", "r,t.g.p*y.wh6 buildr o. improrq rl*r6n. sd eho dod pch wort hdcttor hc*rro. rtuouah h,i or hq "* "i,ip.loy.-.
<br />p-"iaea rr,.t *ir,lnP'osn.ht, n. mr aEod.d or ofld.d for .h r[ how.vs. rrE hrtd,s or hpo**m u.otO *,rt,n oni yaiof.mpl.rioi\ th.OwFBuildc qill h!v. rh. hud.i of rrovins O h. oAh. mr blitd or ihprov. for l].! pupor. of $t ).
<br />_ I. a ow' otrlE propany, rm *lu,v.ly @nr..r!U wnh trcGE.d @tu..rotr to @Euud 0E prol4 ( S.c 7044. adr6r sdIn contrrdorr Lr@. L* dc mr rppty lo u ogM otp,opdy eho bu d.or inp,ovB rh.r@n, &d who@nr..u lor.ucn proFcs vior. Conhdo(d ticqEd ,uEu ro lh.Conu.dott Li@Nc l,w.)
<br />I .0.x.apr ud&. Sd6n _!a
<br />" 5-'7.t4
<br />I h.r.!y rllnm uod6 p.slryoap.riury on. ofrhc to
<br />I hav! !trd *ill mrhhin r cq{ifiqr. or co*eot ro s.ll.lmurc for wo.r.c anpc*iroq rs pruvd.d fo( hy s.cuon ] 7oo of rh.
<br />L3hor (:ode, tor th. p.,for mMe of rh. worl lor whicllh. p.rmn i irsued
<br />I h .Md will dlintnh worl.rr' @np.mron rsu.in..i rr r.qlued by S.qiou ]TOOofrhc L{bo, Codq fo. rhc!.rfornunc.oalll.rort lo, which this p.rnrir ir irlucd My*ork.6 mnrpcn$l ion nBo[ncc otr is ind po trcy number irc
<br />(.arncr 'frndrnS
<br />rori"yr.r,.u., l)l{1!6jl!LlqL-I53T(L-trl_r*p,* _Vllllt _(lhRifrtion N.d nor b€.ohpla.d lf$.p..n( i rorOrc hurdrcddoxa6 { ool or t.$)
<br />I @diay thrr
<br />'n lh. psfordnce of llE sork ld *nichrhi. p.,6tqh.subFd
<br />'o
<br />rl'. mrkot @mp.n*rioo Lsr ofCilforM,
<br />tnn ! i$u.d, I !h.ll m..oploy uy p.r.o. rn.,, mn.q,o 6 to
<br />ld b6om.iubj4r ro th. worrcG
<br />comp.tu.Lon p'ovisionr of S.crion 1700 otth. hbor Cod.. I
<br />,. S l?114_
<br />^ppridn,
<br />WAnNING Frnu,.lo rdu.. worl.6 .odF.,rsron
<br />fitr6 up ro oE hundr.d rhosnd dolhr! t t I oo.ooo|.trr
<br />th! trbor Cod., inrsdr .nd .lorrcy . fc
<br />$h*f!l,.nd !h:U sbj.cr.n.ftpbys io oiniDl p.u[,a lnd qtil
<br />lh.6d ofconp€N ioq diDa6.! piovkl.d foi rh. Sarion 10?6 of
<br />S-:'?'/4 , --coorrido, auaAl: aU- fust4"pA
<br />CONSTR{'CTION LENDING ACENCY
<br />I h.r.bv.rfirm und.r p.Ehv or pajo,v fi.|hq. t r @6rrucri;; k"dia u"r,"y f* rhc p-f..mn.e or th. wo,r rir, *hrch rl!, p.,hir sisucd (Se 309?, civ C)
<br />APPLICANT'S Df, CLARATION
<br />Uem!l rn Pd mils Artqlor No tiolon f.Jq ! I R.8uhl6D ('t l.40,p. 6)
<br />R.qui'.d L.trer oI Noirfiquon
<br />-lcenifyrltrrrh.Ld..rlrcSul.rionrr.s.,dingdb6ro,ranov.lr.norrpphcrbl.ro 6prol.cr
<br />I cenity $.tl hi!. @d thn .ppticltion lod r{. rh.r thc lbow inao,n ion i3coii.d tr8ra ro@mply wnh rllCiry r CoumyordinancB.nd Slil. L.M lnd h.r.by lurhoriz. r.prdcnlllivo o idrit Ciry lnd County lo an.r uFn rh..hov. nr.nrbn.d proD.ny aor
<br />M \WPsl\P&munspsction F ms\Pludbin0 lnsp.clor R€e.d doc 03 31 06
<br />(-7-/4
<br />LICENSED CON tRASIOAS DDCLAI{ATION
<br />I hcr.by.rfir'!"d* plelty of psjury rh.l I t6 tiaro.d lndd p,";;i"".f c"h.pLq, (.*"cinB w h S@ion 70oo) orDrv.ion I ofth.B6in* rnd Proa6rioB Cod., lni hr li.cE. ir i. tullfore rnd.Ir.ct
<br />Lr.nlccrr$ hA _ Li..n,cNunrbs ,20Og6 _
<br />APPROVALS
<br />Waste & Vent
<br />Lawn Sprinkler
<br />/hr-rJ /-r//u t*t</)v /n--)
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