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PLUMBING.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS ()\1NFiR litrlt,l)l.ilt l)El,( IRA I'll)N
<br />Bu\i,rc\\ rRi Pr.l.\sim ('odc) Atry Cily or (-(,ufly $hich rcittrito\ n Fanil t,, con{tu.t. rhd. i'nfovc. dcnnli\h or r.nrn Jn)
<br />{nrrr'c. tarro ir\ i\srn.c.0ho rcqunc\lhr plliudr tur{r.h Nnnirr' filc r sili.d {xrcnktrr rlrd hcor sh. i\ li.cn\cd put{urtrr
<br />ro rhc l]!)vi\i,'ns of rhc (i,nkrctr-! t-i.ctr\cd Lr* ((hanlcr 9. (inMfn.i.3 sirh SLrltin Tlxxr ol Di!isn r 1 ol'rlt Burill.s\ rnrl
<br />rmli.ntrl rnr aNrnrirn,hj..r\ rh. amh nr ro n.rrilNtrrlr!oin.l nntrcihrn ftt hutrdrc'ldollil\ lS5rxD
<br />-.1.
<br />r\ osncr.l rhr f,Nny. or nrycn[lo]ccs {irh n r!c\ a\ !,tn q)h..n{'.n\ tion. $illdo rh. rurl {M rh. \lMtrr. is Bi
<br />inrrtul(l orofarci ri)! \rlclSa 7l!.1.llu\inc$ Md I'rori\\i,8Cdc Ihc(ttrr.nt\l-ircntt]r d c{..rrPplyn,rn.\i$ol
<br />rhc| )rin) ehohuikl\ori'ntrnrGrtf,ir\nr.rxl*hod,${'chsoi(hnn\.llorhch.llurrhrouShl,i\orl[ro* cnDlt)}ccr.
<br />I. i\otrnno, rhcpn,pdr. r cr.hrrrclycontr!.ri'r3 *irh li..n\&l romr.!n\ nr.or(ru.r rlt p'oru.rlSc. TOll.llu(inc$
<br />r lhnN\i,n Cuir Tl[ Coiln.ntr ! Lic.trsc l-rtr rn,.' tror rrr! ly h osncrofpron.nt$hnlitrinl\oritnpt!.ihciitr.
<br />(trd \rho ontadstu' {r[ tnoic(rssirhrCo sx,(\) lic.n\cd t)rrsu r hth.ConkNt, s l-ic.i.c L'q)
<br />_l dmur.mrr undcr Sdio
<br />]yl)atrEBl:CAMfjNIAIION
<br />PICIABAITQN
<br />I hercby alrrm lnrlcr oeMllyofpcrjuryoncoflfie ftnhsins d6Lt,rions:
<br />I h.v. rt sill minrain a C.nif(rrc of Co.s.n! b s.lalnsuE for $o,kcs ompcnslk'n. ns pf,rvid.d for by Sqrn,n l7m or llEffif,tr rhc ,ulanMne oI rhc $ork lar whi.hrlt Nnnir is i1n'.d
<br />I ill nHinran, s orkcr' ..nurNrr ion ir\nrrcc. r\ rcqui'ad hv SLrr irr 17rx) oi rItr t f,htr Cod.. lor thc Perlorromc ol
<br />*irichrhi\ p.nnir h nsud. My workcrr .u{tr ntl i,nr i'r{rxru.,tiicr rr policy nln,bd uc:
<br />,.TT T L fiTTD otlr4o6t0l
<br />WARNING: FlillE lo *G slltcB onFrerion covcEgc h lnh\tuI- d dEll suhrc<t ,tr dllotlr ro simiml FNtis lnd
<br />civil fi..r up lo oft hundrcd rhdusmd dolls (llOO.mO). in ldd ion b rhc .o{ of coryEisllion. drm84 a pmva.n forarhc
<br />S.cti,n 10?6 nfrhc lnhtCo'tc. in
<br />,,,,. z lolzt,C lL Kesruratr 4
<br />Lt|tNsl'D(()NtR^cToL
<br />DScln-BdltoN
<br />ol rhc hNir.\\ ri,l Pnnc\\n \ Co(lc, ir my li.ctr"c ir ir tull nn( dd crtur
<br />F>
<br />zOf €ftt
<br />corisrBucll()xLtixDlNc]Ililllr
<br />I hc(hy ntft'nr.d.r Fntrlry.r,trri yrhtrrrhcrci!r.otr{flrri,nLdirr8.3ctrcyfotrh.F-rtnutrQorrhcqorkri,ishi.hrhi\PLniris
<br />isucd (Sc. 1097. Ci! C )
<br />AITUIANTI]E$AAAfION
<br />I lmhylninnuidcr p..nh y of pcrjwy onc olrhc nnbwinE dalnrnrid'\:
<br />Dennlirion Pcrmih Ashcnos Norifi.,rion Fcdcr!l Rcsulrtions flirlc 1(r. Pd6)
<br />-Rcquncd
<br />Lclrc. or Norifi carion
<br />rhd rhc icdcrrlrc8ublidr\ tolardnr$ a\h.ios orc nor arpliclhld ro rhir pmFt
<br />ry rnar I l!v. rcad rlrh app,tntnrn un vc inlomsrion n con.ct. I arre io snrtly e nh aI Cny and Colnry
<br />rid srrr.ltr$rcl ifph buiklirs n.rcby aurhoriu c rcIf,.s rriv6 of rnh Ciry ud Gunly lo .nld lpon rlt
<br />tx,vc nEnrbncd nnpcny ftn ii
<br />Apdi.anl or Ascnl Slsnl'lurc:utL
<br />P.mxm r"mc (pnnl):
<br />t z.l >n
<br />UNDER GBOUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area,/Storm Drain
<br />lnterceptor/ Clarif ier
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipinq
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouoh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />IVliscellaneous
<br />Gas Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rouqh Plumbinq
<br />Final Gas Test
<br />Meter Release I
<br />FINAL 3/9/-?4t 'rurw.I
<br />Notes, Remarks, Etc.
<br />APPROVALS
<br />o"", J.lY44
<br />trndcr s AdJrcs:
<br />-
<br />vk
<br />TOP OUT
<br />Water Service
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