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PLUMBING.INSPECTOB RECORD
<br />APPROVALS DATE COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under f loor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area./Storm Drain
<br />lnterceptor/ Clarif ier
<br />Water Piping
<br />Gas Pipinq
<br />Roof Drain
<br />TubiShower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Draini Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Sanitary Sewer/Cap
<br />Lawn rinkler
<br />Back Flow Device
<br />Rouqh Plumbinq
<br />Meter Release
<br />FINAL 2-7,1-a.o bJrllo.i
<br />Notes, Remarks, Etc
<br />Oli'N I:R I] U II,DER DELCAR,\'tIoN
<br />ippli.nnr nr.ltnn \uhl!..h rhc iff '.rir ro r .rrll nc xlrvolrornxtrcrh rrrv.h drcd ollfr(15([)
<br />-L
<br />rs .wEr of ln. |iDFny, or n,.r{'k!rrcs {i!h vasg 6 rh.ir sb .onp.Nrion. w do Ur*qt&drlEslm@ ismr
<br />inrcd.{ or oficrcn lor sh (58.7044, BusiBss and Pmfesions Code: TIE G)nrBcrols Li.cn* L.w drcs flor q,ply ro an ow*r nl
<br />lhc trcFry *lh huild\ or inworci lh.6n. ond *16 dlEi sh w6 hitu.lf oi h.rslf o. lhbuBh ht or hcr osn .mplorrcs,
<br />providld lhd seh inpmtrnrs E ml inlci(h oroltu fm $t. li. tsM,ltr tlildina or ir{mwmnr i$ldqilhinoE Fe
<br />of con{,hlion. lhc O,rcr Buithr will Faw tlE h{dc. of povinS $al lE or shc did ml build or nr{,Dw 0E pmlsly lor th. pu4,s oa
<br />_1. ur o*M of rh. flollcny, anciclusiv.lyonr,acrin8 wnh liccnscn conrracror lo con(tucr rhc pmrcct (Scc.7(N.r, Eu\ids
<br />lnd Pmfesiotr Codc: Thc Conlmtols Liccnsc tlw des ,or ,!ply t' ,tr owncr of lmpeny who builds or inrrmv.s lhcr6n.
<br />od who onrl&B lor srch lrrccrs *irn a C.nrB-ro(n lccnsd rlEuun ro Ir Comr'.roa. Liccorc Lrw).
<br />I lincxcmpr undr Sc.
<br />t
<br />uli{-l.,tlrluor
<br />I h.rchy trIiimn.d& |ftuhyorr.rjnrotrc orrhc
<br />l;'htrcrJ.. rnrrhc pdnnmncc ofrhc so't ir shi.hrh. D.flnir ri\$cd
<br />_l havc lnd will n.inlain workcB c.mp.nsation nBumncc, trs Equircd by Sc.lion l?00 oflhc L{bor Codc. tor ltc psfomrc ol
<br />rhc work for qiich lhis lcmit is hscd. Myworkss conpcnsdion iNu$rc. clnicr n Fltynumbcrm:
<br />Pdi.yNumh.r: Erfkcs:
<br />I ccnil.v rnJl ir rh. r^-rlnnNr.ol rtu (ork lar $hichihis |En ll i! n!uu,l.I \lrxlltror.n,jnoyrnvIr'{r i',rnt trrnncr
<br />{) rsh hNo.r \uhlc.r r,rlr solkcd.onr8nvhon h*\of( trlitunm. aM urc rhnr il I sl} ld hc.otrf,(uhtc.r nr rhc
<br />so*crs.nmncnrrridrptuvi\ir,tr\olScdiur.17(ll)olrlrct-hrCodr.lrlull.l()nhtrirhconlplytr]rhrhosc!roviri{nN
<br />$ARNINC t_rihtrc t, \.curc $orkc'(.otrIrn\xri{r (lrurrEc i\ tt| \t|. rnd \hrll\ubjcrr r', ri,plortr ro dinri'rlp.nnhi.\ okl
<br />.i l nnc\ rp ni .m hu nr.d rhouend dollrtr )), i', addirt'n h rh. .od oI conDdnvrion. d.'ulcr 0s tbid.d li)r rhc
<br />sc.ri( .1076 0frhc lxtx,cirlc, i cr.{! d
<br />t2-<-11
<br />I h.eby dnrn und$ !..dry ot ptrjury rhlr I d liensn und.r Imtnion of Chryld 9 (@mff.cir! Dnh S.dbn?Om) of Division l
<br />of lhc Blsim$ 8nd Pnfcaions Codc. . my liccnE i1 in tull torN ard .fi€1.
<br />ca$$f,lcuaNui oltrjaaENcr
<br />I hcrcby.rfinnundc, pcnllrrolpcrjory rhd rhcE is r cohsrtocrio" lcndins ascncy nr rh. pcrrormncc ofrhc uolk for whi.h rhir t)cmn ia
<br />isx0cd (Scc ll)O7, Civ C )
<br />ABIIICANI.DECI.ASAIION
<br />I rrd,y Lllim ond.r |r.alry ofr.rjury om otrhc n,ll'*ins d.tlmrions:
<br />Dcm.lirion}cn.ih AsbcstosNolificolion [c{crul Rquloliotrs(Tillc,l1),Pfi6)
<br />Rcquncd kncrot Mrilicdri,n
<br />-l
<br />c.n ify rhar rhc fcdcal rc8]lhr ions rc8$din8 rtisros Enrvll nrc rct .Fplt.blc ro rhh Imirr
<br />icrrn,nodsrorcrhurrhcotnvcinlornurioriscorccr.IaFccln.omrlysirh!llCirydndCour,
<br />CiryaDd Couniy b c icr upon rlE
<br />^*,- l?-4'11
<br />hrildini consocln r.ord h.rchyonrlnrnc rcprc
<br />ID/SIG.
<br />TOP OUT
<br />Waste & Vent
<br />Miscellaneous
<br />Final Gas Test
<br />a
<br />I
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