PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS ()llNllR liull,DllR l)F.l-caRATl(ll\
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<br />l. r\ o\ icr of thc ltrolEny. or n,t cmnlort s wirh srlN is rh( ir slc $nrn! \dirnr. *ill do !h. s.rl rtu lhc ( hnn.r
<br />i ckLil or ofiircd l'or sslc (slr'7()s. Btrsilc$ md Pnntsi,nN (inl.: Th. ( otrt..ktr\ l,iccn* t!$ doc\ n.ramlv to an o*ncrof
<br />rh. l]n)pcny *ho huikkor ir\a,ncsrtxr$n. ad sho (l,B\1khktrk [nnsrlfoth.kll orrhn,u8hhi{ orlErosncnfk,yccs.
<br />pn,rirlcd r har s(h imp(nrtu r\ irc tror irrrcxlcn or .li!(l hr {t ll. hotr c\ rr' lh. huikling or i'rynr cn.nr i\ $kl wirhin onc }eu
<br />ol.o l|)ldi.n,rhc(Xvtrcr lluildcr willlt'!c rnc hrd.n.f lft,vr+ rlul hcor\hcdtl .rttrrildor iDpmvc thc ptr,Idy fd rlE PU{n{ol
<br />l.r\owncroilhcprolr,nr.,rrclusivcly..nk&rirrSrvirhlic.nscdcodtcn$t,cnnirucrllrcnr,lccr(Scc?014.6u\inc$
<br />afrl t'turi.\i.nA)dc: Thc Conrrncktr \ l,ic.nsc l-!s do.1tror rPflyro anos'tr.rofpii,ltntt*ho 6uil or nnpnrt! rhcrcotr.
<br />rnd sho.onrEcrsfr\urhtrorcrssirh.Co.rricrnl\)lic.,rLdNrtornrfurh-Conrac&r\l.iccn{tja)
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<br />rh crcm udc. Sedon-. B. & P,C, for rhi. eson
<br />Lrro
<br />lroRt<r ks' (:{ ll\rIrFNsArIoN
<br />IECI.Af,AIIO!
<br />I hcrct y arfid!6.lcr FnlhroltEjuryoflc oflhc fou{,win8 dt.lM iotrsl
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<br />hrle ,nl will rointlir ! Ccnifrc{rc ot Coo{nr ro S.lf- Insurc lot *orkcc conP${rn,n. as Por idcd for bt S(rio. ll00 of rh.
<br />L€bor Cod!- ror thc pdromncc oflhc work fu *hich lnc ps'nir n is{.d
<br />A hnrc ond wilt nlan aitr worleB @op.osorion insu.0mc. !s rcqliEn by Sdl b. !7oO of lhc ljtor Cnd.. aot rh. Frfoffixc of
<br />pcrffn is hrucd. My*orkcn c{'mFtrsornnr in\urrRu..nicr un nolicy .umbd dic
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<br />eniry rh,r in rhc pnr.rmncc of thc o Lr Dhth rhh Frnit i ksucd. l shrll nn coploy any pcMn in lny aMM
<br />s sto hc.onE subrccl h rh. *erts @n{rnsrion lNrof(llifotoi!. lnd u8ftc iher if I stnlld tEsm $bid
<br />'o 'hcsrk s conlnctrsion pn,lnioBorsccrion l?0o oflhc Lntxr Codc.I \htrll,lodhsilh snrl,ly wnh rlhs Povisi(,.s
<br />WARNING: Failuic ro $.uc work s 6'npc.s,rhn ..vcng. is unlowful- md $dll subisl m cmplortr lo oioiMl FMlricr lnd
<br />cilil fin* ut, ro om hundEd lho8dd dolls ('l(x).uDr. in lddnioi lo lh. coir otconFnslion demscr {r pbvid.d f.r rL
<br />S.crn,n:1076ol rhc tibor Cdc. irrcrcdand anorfty\ rss
<br />2 -2s:2\
<br />DEI! ndrlol
<br />of rl[ Bu(i,rcs ond l]oltsi(nl(.odc. od myliccn{ i\ ir tullnncc rn{lrlf..r
<br />e'.34 ,,..*.-*,, 'K t/t
<br />,r,," 2'Z{'2t a."r*"t.r,:4
<br />coNsTllucll(lN I rNDIN(; a(lENCY
<br />i\sucJ rsr :1097. civ. c )
<br />A-8&LEANLDECIdIIAUON
<br />I rLr$y unnnr uodcr pctrilry ofpcrjxry onc ofrhc lDlk'*in8 ncchrarion\:
<br />Dcnr,lirn P$nrir*Asbcnos Norilicrrioo FcdcEl Rc!uhrn,'! (Tnt 40. P!!16)
<br />R.!uncd ktrcr ot NorifMiion
<br />'r. lccnilithrr rh.lcdchlrcrul iutr rc8udins rstf,no\ rcm,vd . mr frlicnhl. t, rhi\ proi{r.
<br />!l.cniiylhl( I hivercldrhi\rnt,l(nri({rll {rrr rlrrlh.itrirc n,nn rrruri(.onc.t lrS.cck'comllysirhrllcirvtftlCounlv
<br />o",., 7' e 5i zer
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under lloor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Water Pipinq
<br />Gas Pipinq
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />lVIain Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rouqh Plumbinq
<br />Final Gas Test
<br />Meler Release
<br />FINAL 2,'k--EE{ lt >
<br />Notes, Remarks, Etc
<br />Waste & Vent
<br />Miscellaneous
<br />/\d.a.^:
<br />t.d.asAddrs:-
<br />ffi':il.]i-.j-.
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