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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/slG.COMMENTS ( )tvNER Bt tt,DDlt t,F:t.(ARAltoN
<br />I hcrcb, nlli u dcr prtulry (n pcijuiy rhd I n r cx.nrfr lioD rh. (',tr!rtk*r l-i.cnsc uw lnr ric blkNnrg I
<br />lru\inc\\ rnl Pn,frt\i,nr Cdc) Any Ciy nr (i,unry shi.h rcqutc\ . |f.nrir r,) ..nitucr. rlrcr. infn c. dcnFli\h r rcl]trn ri!
<br />{tu.rurc.I'rii, k' ir\ i*urnc.. rl\o rrqrits rhc llt)flicrtr n, such pcrnir h iilc a si8n.d { cn.rr lhrl h.or \hc n li.cn{d t'n^u
<br />r,r rhr Jnr\i,nrs .f rl[ C ontncloa\ l.iccnscd I !w (Chrpr$ 9. C.nnncNirrg $irh S.cri(,n 7(Xx) of Divisio. :] ol rhc Busin.\\ dd
<br />I\olcs(iotrsCndc).rihrrhcor\lti\crcfrnrrh.rclroraodrhchrsistrlh.rilct.dcr.rlri()n AnyviolalionolStri, Tl):ll5htrnv
<br />rnlllcanrrnr rpcnnir \rbid\ rhc rrDlicrtrr b 6cirilpcftrlryolnor.rtrr rlrn iiv. hundrcddollaFrS5(nr
<br />L n\ or .rorrhcllnJNnr-ornrycupk,tc.s sirhBrgci r(rhcir {,le.onrF-n\arion. will o rh.qorkNklrlt {nd!'. ir nn,
<br />tr ctrd.ll orolliredi,trvrl.iS\-7{t,1,Ausirtc\saodPiolc\qorlCodc'lhcA,n ch'\ Li.cnsc LN do6 nor rflly ro in on'ncr .l
<br />nrnrcFny $h) hxikt\.r iqrorcs rhcF)n. nlqhod,f,\{rh$orfihtr.\.lfurhcrstlforrhi, 3hhi\orh(otrncDPloyc.\'
<br />prolnhd rlrr \u.h i'nprrc'rnts r nn iirc0dc,l...lli:n{ Iitr slc ll. h$crd. rlE l{ihirg .r inprtr.nr nY)Usirh .N}tit
<br />-l.
<br />r\ostr.rorih.rrufc y,rrcx.lLrilclvcofircrinr*ihli(i\c mDx rcttr\ nr connn,.ihl Dqcd iS.. Tn - h,vn.\\
<br />okl lhrllsi{Codc'l'hcConrrctr'sLi.cs.lrs(k)c{nriDPlylortro*dolfroncrly$hohnikhornnl(iu.\rht( .
<br />rnd rho $nrsd\ Lr nrh prtcc(sirhr (in[r.ttr(n li.cNd l[r\un r.rhc(intNltr'{ l-i.cn( l-dv)
<br />l.mcr.mfl uftlcr Sccr
<br />.uoaf,E8li:gDuE sarxr!
<br />DECLAEAIII}N
<br />I h.rcby dlllm under p.mlly of pcrrr.y oft ofthc follopirB delmlions:
<br />-lnn\.nnn$illtroi'
<br />xin rccnili.rt ofc{ strrr, Scl,:lnntr.lnr \o'kc'i.u ltn{aii(}n. r\ nrovilcJ aubysccrn lTl[olrhc
<br />t:t{tr Codc.lnrrhcp.rltirnnnccofrh. wo'k ntr whi.h rhc Frn i\ isn'.d
<br />rltr\!rIij,r(hi(hrhnprrn,iri\n{(dnlt$orkc^'c.orNnwrinri'xulrNtrr nrr F li.J_ trtrnrtrr xr.'
<br />I ucnifyrhnl in lhc pcriormlne .l rnc worr lot *hi.lrhh Pcrnril i\ issncd.l sh,ll nol cmrklranylEnon inanyn'onftr
<br />$ $ ro hcd,r 3ubjc.r lo rh. wortcn compcnsalio! luor olCalifohir, ud aBEc rhnr ill sh.uld ticonE suhj.tl lo rh.
<br />Nortrr coipcnqrn,nF,visions olSElion:17(nofrhc lin cudc.l nElI fonhwilhconpl, wirh $oe l,bvisions..
<br />Sc.rrxr .1076 olrhc l-rhn (ixlc. tr[cr\ rorl drrNt \ lt.\
<br />lICENlIDl:OtrI&lLTAB
<br />DIIIJBAIION
<br />I hcrcby drfir'nu.dn If,tr.lry ol perju! rhd t or li(n*d xnlcr pnrvhiM oaChanrs 9(comn.n.in8 wilh Sarion 7(xI)) orDi!i(i,,n r
<br />ol rhc Bn\iNssrid Prulrsn,.s Codc, n nryli(cnsc i\ in tulllnt r Dfrl ctltcr
<br />Lrr
<br />iIPPI,I(IdNT I)F(II,TIIATIoN
<br />ItErcty innundtrl.nnllyolr.rjuryoncollhcanln'wiiadtl* rionsl
<br />D.trrlirion P.rmih Ash(\ros Ndrifi.,rion Fcdcr.l Rcruldt,n\ ( lirle.rJ. Pan6)
<br />-R.quncd
<br />Ldrq ot Norifi .di,r
<br />-l.cdiryrhar
<br />rh. fcnc.rlEgul ions aaardin! !\bc{os rnn,rdlsrc mi anplttrhlcrorhis Pnt.!
<br />nhrc rnri.nci Dr.ncnyturi',\porrirn,!trrlhs\.
<br />ADpliGnl or Agenl SiBnnl!ft:
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipino
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />IVlain Drain/Pool Pipinq
<br />Fill Line/Back Flow
<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 t_
<br />FINAL 3.,/Q,/zrn -,,,,W,y'7
<br />Notes, Remarks, Etc.777
<br />IAISIBJJcIIOtrIENIIINGII;I !.I
<br />I hc(h,aiirrrnnl.r f'cntrlrroflc{rtrrrhlr rtcE tuc.inrudt,n lcndirs r8clry ntr rhcpc nnnrn.. oltlE*ork tn *hichrri\ |lrn is
<br />is(u.d (s( .109?. ci! c )
<br />I rftlca. \Jnr
<br />-
<br />UNDER GROUND
<br />Pool Heater/Gas Line
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