PLUMBING-INSPECTOR RECORD
<br />COMMENTSDATE
<br />UNDER GROUND
<br />Waste & Vent lLDe, -Water-Under floor ,l
<br />Gas-Underfloor
<br />Building Sewer
<br />Area./Storm Drain
<br />lnterceptor/ Clarilier
<br />Waste & Vent
<br />Water Pipino
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouoh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/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 Sewer/Cap
<br />'7r44,b(Rough PlumbinS //0 /20. I
<br />Final Gas Test
<br />Meter Release IF|NAL 'j/z/zQ ,.y.#YL7-/
<br />Notes, Remar(s, {tc 7- t
<br />OlYNF]R AU!I-DER I)IiI,CARA'I'IoN
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<br />-1.
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<br />rhc poprny $ho tuil,hor i'nfr.v.\ dti.\!i. idqhodoc.n(iwo'khi'n\tlforlt*clforthrou8hItho!hcro{nc'npk,yc.\.
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<br />ol corlPtr ior. rhc Ownd lhikhr*illhivc rlrhurdcnot |rrinB rhi )rDrshc di, r[ bnilior i lfirc rhc ntu|f,n!_ fnr rhc IU'F)* ol
<br />L r\ oN cr rl r h. pnrpcnr-,. 3r, .xch\ir.ly .o tr.r i,rE tr h liccrql qtlntx.rr\ I' dr{nr.r rtr [tr.iccr ( S( ?l!J. Bu.i"c\r
<br />rn{l lh s\i'nCodc:Th.C iri.r.r's l-iccnrc l,aN,lo.\ nori|nlyh riostrn oflr)}'c'ty*ho htildsor imp.()vcs rhcrcor.
<br />rrcirk wnh { Conrmlo(s) lic.nsn p!R!..r ro Uc conhdols Liccn* L!w).
<br />I h.rc$y nllirm undc. pcnilry of Fjury
<br />DTI;IAIAIION
<br />L'}xtr Cotfu, turrlr |rr,o,nrNr.l rh. $.'k,nr$hi.hrhc Nnn n i{oc,l
<br />r tu \ ork nlr \ hih rhis t^-nnir i\ Nncd l\{y tr o.kch .orn.Nrr i,nr l Ntrric. .ins Fnlcy nu ftur rr.
<br />-l
<br />enifyrhlr in rhc p.raoiruncc olrhc *ork lor whi.h rhir l.rmt ir issucd. I stall nol cn9loy lny Pcson in.n, mnn(
<br />s N lo lEcom slbJccr ro rhc wotcB comt ns,lion lsws of Colifomi{. snd agftc lhul il I slsuld t$om slhi(l lo ll*
<br />worksl con{Enerio, IeririoN of Selion l?m ol tk Llbr Codc. I dDll. fonn$nh 6trq,1y *irh llhs 0n,vhfttns.
<br />rc work 6 .onrr.nsuliotr onmBc i unlisful. lnd \hrll srhj.ct h cDpk,y.t kr mrniral Fnahics md
<br />r. rh. cosl of coqrnsttun, d.@C.l &s povidcd for rhc
<br />I h.Eby .,Iirn un&r Fnrhy of F.+ry ud.r p|ovisionofch0ptcr9 (ohftfti.g snnSelnn 70m) of
<br />of rhc Bu\inc$ lnd Pn,fcsion, Codc. a.d nry liccns t in tull lo,e Md cff(l
<br />CAITTAIC[IANTENDIN(i.AGENCI
<br />I hcrchy.ftm undc. rEoahrorPcrjurythat rhnc isr nnrudionkndi'rsaBc..yl.rrhcFcrlo uncc ol'hc work trahich rhirimi n
<br />issuL{rs(.1097, civ. c )
<br />afEltgall.D[cl,axarll]!
<br />I lrrby lnnm hdcr lcnalry ot p.rjury onc oi ltE rolhwinS &.nu!lions:
<br />Dcmoliriotr Pcrnits- A s beslos Nor ifi.ar i.n Fcdcdl RcEtrl.rions (Tirlc 40. P!n6)
<br />R.quiEd t cr of ttolifEar
<br />,!dldE nor opt'liclhh h rht F+cl.
<br />rc rh0r tnc !h,vc innnturi.r i!.onNr.l agre rocomplywirh rllCiry lnd Counly
<br />in8 conslruclion. ofll lErcb, lurhori& icFc*flldlivcs ollhis Cily and Couniyro cnrd ulDn llE
<br />$-12-1a-
<br />APPROVALS ID/SIG.
<br />TOP OUT
<br />Back Flow Device
<br />I
<br />Liccnsc Ch$:-Li.ctrsc Numbct
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