APPBOVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent frtt/9u
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent 1 7 t'1 , I dc/6 )
<br />Water Pipino
<br />-t :#\
<br />Gas Piping P^4i v,yl{\6)
<br />Rool Drain \-7
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />lvlain Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />C? -C ?/'0(,ffie ) OK/? co/<-a.
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow DeviceF/D/f 6ftf 't$r)v.v-fi4
<br />Rough Plumbinq
<br />Final Gas Test
<br />Meter Release
<br />FINAL /-13"'222 J)t tu ?@)
<br />Notes, Bemarks, Etc"
<br />-ld-L UE<,e aY $ad @u.
<br />-+
<br />PLUMBING-INSPECTOR RECORD
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<br />ippli.xft ford p.hnl suhjNt\(hc nmli.an o rcivilFnihJ or n.r n,erhnn fic hu rcddollr^(S5lr))
<br />-1.
<br />$ o**rof rh. prcFny. or ny.rqloler wirh $ags N rlEt $k orqEnBriotr willdo rn wk!dth.sltul@nmt '
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<br />rhc FDpcny sho boihs or intmEs rnoe( stn sfio d6 sh elt hidsll or hoslf o,
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<br />of.onpLrion. tE Owmr Built u ,EEllrhud.nofFovin8lhdlf,or.hcdtmlt ald o, itrFot th. rtDFny for rrr rulhe ot
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<br />otrd qho coNn.rfor such projcclswirho (-onnNr.(n licctr{d pu^urnr t,'hcCoitdcttr ! Li.ctr.( ljq)
<br />I am cxcmDl undcr Sccrion . B & PC for lhn'catun
<br />]4!I4f,E8S:!0!IPA!ATIAN
<br />DECIdSAUA!
<br />I hft6y aIfirhlndcr D.nohy6f ncrjury6mof rhc folloring dc.l.hlion*i
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<br />rcrformrcc olrhc trork iorwhic[ rhc |Eirnir is isucd
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<br />rhc $ork for *hich this pcrnn is irnrd. My *o dr NnrFnsrion insurec .@i.r ,fl| Fli.y nun Er nrc
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<br />c.nifyrhar in ln. nof.rruft. ofthc Rork ror *hich rhi r.rmir h bsu.d. I sMllflol c'nrk,, an, pcG.n in any m'nmr
<br />$ os lo bccom subiEl to lh. qo 6l oryf,nsriotr hwr.f Californh. ".d ts@ rhd, ilI should h.om.ut'Fcl hrhc
<br />solkcrs comncnsarion pmlhionsofSsri.n 3?00 or rhc ljhtr C.dc.lsh,ll. tiJnhwnh c.nrtly sirn rhor pmvhiotrr..
<br />cnil fin$ uI lo om nufldrcd lhouslnd dollnfi (Sl0{-0m)- io nddiliir
<br />S..ri(nr.10?6,n rh. l-xlitr iircrc( 0d lrr nrr's lss
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<br />DITLTU]trIOI
<br />.l rh.Ini\inc\s rDd P,olt\\iors(,nlc. r ,ny Li.rtr\. i\ ir 1!lltur.r riJrllr.r
<br />l/c."q?/ z-2 +
<br />'D/p t z;ruil
<br />(aNslBltcuaur[rlltNc-&0liNlr
<br />I h.dhy afilrolndo pcndrry.fr.rjuryrhd rhcrc k, str{tu r lcndineo8cncyforrhcpcrf..urnccolrlttrorkrn\hi.-hrhirltrmirh
<br />hiuc.l{S( .j0q7. Cir C J
<br />AIILICANLIII,(iLAITIION
<br />I h6r.t',nflnntrndft pcnrlry.fp.rjury otr ofrn tulloNirr dcclmlnnrs
<br />Denrnirion I'cnrih-A\hcsror Noiilic bn r.d.ralRr!trui..( ( lillc'r0, PrnO
<br />-Rcqltcd
<br />Le(urolNo nc id'
<br />l.cnifrthdt rlrlcdcrtrlrc8ullliotrsESudn'B $hc(.\rcnurlrrr for rnlicrhlc t, rhi\ pn,jc.r
<br />ordi'!rNc\ rtrJ srJr.li$\ rchri'rg k, hdildi'i3 nrorilcs ofrih Cirytr.d GDnry ro cnr.r qhn tE
<br />ahv. nrnrioncd pmp.ny for itrsp€nion
<br />rl DDli.ml or A,lenl SiEnntum l(
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<br />** 4/."/e".t
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<br />Gas Service
<br />WARNING: rlilurc lo slrc wrkcc' .onD(nsuli(r svcmrc n utrhstirl. and sh l {ubjc.r otr cn{roFr h airnilrl PcMlrics .nd
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