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PLUMBING.INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATE
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under Iloor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipino
<br />Bool Drain
<br />Tub/Shower Test
<br />Rouoh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />lrilain 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 Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release lt lt
<br />FINAL |/u/roh dY6tila6 r6U
<br />TtNotes, Remarks, Etc
<br />()wNuR B(rll,Dr]R l)t:l,cARAl'loN
<br />I ltrrchy rifint uitlcr Nnrlrl' ol rcrjrry rh l n cr..rtr lin rh. Cinirr.ktr{ t.'.cnsc liw ltr lhc fdkrwinS I
<br />BNincsr iRl !tol'.\\i,'n (-, c): Ary C[, or (fl! y \hi.h rcqunc\ i EJnrii ro conntud alr.r. nnDn,rc- &nx,i\h 'tr rrlrn Jn!
<br />srr.rurc. For k, ns i\{rinrc. !l$ r.qttc\ rhc ftlr r n{ srh 0(nnirit f|. r {!ncd *rcnrtr rlrrh.or shc i\ li.crlcd Pur\urnr
<br />r, lh. [ovti.n\ ol rlf, (ir rrcror'r l-i.cnEd li,s (chrlrcr 9 ctnnncncin! qirh scdi.n 7(xD oi Divi\ion I ol rh' Busnrs i
<br />rft,licanr turnNnnn \uhjccrsrtE rrrrli.rnrt,r.ivilncnrlrloiuortrxtrrrl,r lir! htrndrcddollxrs($5(x,
<br />-1.{\oNncrofrhcPni|{dy,ortrrycnrPlo)lc\Nirh(33csr\rhcir$lc$mncn\rrn,{illdol[c*o.lrndlhc{tururci\nurinr.'dcd orolltid lir snlc ISa?(!.i1. Bu\i,rr\ aM I'rofcsio.s Codc lhcQ rr.k*'rLic.trsIrNdoNndralPlvro!notrRror
<br />ihu|r'nrny tr b h.ild\ or iq(,rr< rht d4 arxl *h, ,lor\ {'ch s1d\ hinhclf.r hcr\c ll or rlrn gh [r\ orhcro*ncmPk,!c.\.
<br />I. rs.utr$.1rhc pn)pdy. r cr.tusntly.onrrrclirrg will lic.n\.d .otrlf.h\ !i corsr'!cr rh. pnl}-d lScc. 7(!'1. llu\iIr\r
<br />nnJ h)fc\\i Cotic lhcConrrr.roi\l-i.ctr\cl-rudoc!trorrntlyboos dr .f flftr|fd y *ho truilds or nnPn)v.\ lhcrcon.
<br />rnd sho colrrr* tu luch prorcrs *irh a (in Bckn( r) littrscd Nrsurnl io rhc Conkd.rtr r ticctr{ hs )
<br />| trDcxcmpl under Srri(,
<br />lhr( (hn.r
<br />tlt)Rl( l lRs' ( r( l\l rIrNs.\'I1( )N
<br />DIIL -[AUql
<br />I lr!.1,\ 3lltrN utrdr' ])(Nlrv.lN'1tr'\ onr ol rhr hill,N h! (lc(lxrrri!tr\
<br />I hrrcitol $illroinr!i'r rCcdifi(rrc.fCon{ n) Scl,:ln\rr. fitr $ tkcr'conlPcisrnin. !\ ttr vid.(litrhvS.rri(r:t7{x)oflhc
<br />li rr Codc.lm rhc lcrtunuicc orr[c aork ltr s[i.[ rlt Nnnir is il\tcd
<br />and will n,inroio workcN conll.Ntri.n insuhtrc. N rcqutrcd hy sd n,n lr0o ol lnc Llbot G)rrc lot thc rrforturc of
<br />lor *Iich thk Flmir is hsbd. M, sorkor conlFnsalion itsu6 c .rid ind Polky .!nb., @
<br />- I twltcn 5v nc
<br />--' A wco32r1 lz/t/zozo
<br />-l
<br />$nitrrhur in rh. F.lfonMN of lnc *orL ld *hi.h rhis pctml h iJsucd- I \hill nol .ru'loy .ny tlcrmn in anv matrRr
<br />s "1h lBonE sul'jel lo rhc *ork6 dimpcns.rion l.ws orc\lifomi!..rd a8N rh ifI rh,uld lx.onE subirt lollt
<br />wo dc ompcnsrrtun ptovili.ns o{ serion lTdJ of lfic Lah, C(rlc, I slEll. lonh*irh .omlJly wnh
<br />'ho* lmvhionr'
<br />WARNINC: FDilurc rd €ue wortcN' ompc.s.nio. cov.Elc is unl.wtuL oad ihlll iuhj.rt rn cn{thllr x, aiojoal Follas and
<br />civil fincs uf xr or hutrdicd rhousMd doll s (sl(x),(xx)). in fior k, rlt .oi ol c,trnt)c Ldi({]. Llxnr,lr\ r\ pnrnlcn nn rhc
<br />Sccrtu 10'76 ollhc Lrt$r Cudc. inrcrc(
<br />/ - 3 /- zazo
<br />I h.rchy!lri'nutr,l.rI.nrlr!ol t8pr) rh l rfr I r lrorision.tChlr,rcr 9{conmrirS wnh Seli6.7ux)) olDilision ]
<br />.t rhc Susircs md Pnt s\ions Cod., .ri nry
<br />B ToBteg
<br />o"ro,.-Lz:/- 3t'2 [23 ce.. s l-
<br />c0NIilallclll)NrllDllc./\cENcf
<br />I hcrby afljnn und.r Fnaxy of I'c{u.l lhur rhcrc is a ..n(dclb. lcidins ,ecEy fo. rh. lcrlorm*c ofuh. so tor rtich lhi lcmir is
<br />isstrcd (Scc. 3097. Civ. C.).
<br />ATIITCANLDECLAf,AIIO!
<br />I tsbyario uidcr,!.n!lry ollcrjuryonc otin ldk,winC d(lualion\
<br />D.ndirion Pc,nrih Astr{o* N or llcal ion fcdcrul Rcsuhiions(Titl.40.l'!n6)
<br />-Rcqun
<br />d knfi orNolificali'n
<br />-l
<br />ccnify $sr rlE ltdcrll Eguhlio.s rcg{din8 slrslos rctuval d nol lpdicablc lo lhh lft,jNr.
<br />I hare dld rhi. rl)pli.uti,r !,xl {arc I rrk dtbir nrfo,mlion i coG{ I ngre lo comdy wnh all Ciryand Counrt
<br />.',1ir tr..\ rtrd Sr rc ln*\ rul irA ro huil(li'rg
<br />ahrvc rrnrionei pmpcny f(tr insn .l
<br />/tp0li(ont o. llenl Sixn turr:
<br />,
<br />-6,"
<br />Counry ro cnlcr uFon thc
<br />/- 3t- zoz
<br />ID/SIG.
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