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APPROVALS DATE ID/SIG.COMMENTS OWNEf, IUILDf,t I'TI'AT TX T <br />I h.t!5,.,Im u'n r F.t, olF.ru,y tll I m q..{i ttro {E (o' *ld tj.GE u* httlEi b,ilt ltan{s<,o}I t <br />B6iHr .rd Pmt6.o C.d.)r Any Cily or Cdlry rn Equd . pdn lo sBiMr. tlld. ingr$E rbhl.n o. qrt try <br />drEur.. F b n. M. .!o '!qld $. sl.-r tr rBll ,.n 6 ItL . itrEd rr.rErl ll. lE d dE r l.dEd a@!i <br />!o iE FDviriB of {E Cdrrrtdt Lien .d 1,, (Ct4ri 9. ( ffitrt r.h s.crbn Im of Divthn ! of fi. &!!E ul <br />PmE lis C6d.t d 1lrr lt E rtr i. a.d{r r!-tiM dd dr h6i &. dE .U.r.d qdr m Ary li|Llit ols<i6 tu, I I by {, <br />@li..lll 5r. FDn {tu..r. rh. .tDlolr ro..ivilp.nlyof 6t tEG th. liv. lnnH &llr! {l5qll <br />-1. <br />s o*E .f rlr Fs,Ery. r hy .nlrhrq enh r'r!d $ [.n iE oMa.rrlni\ sll .h tL adt id iE i^rrw ! Bx <br />Irsd.d n otu ttr iL (S6 rlxa. B$itB dd tmli!.m C6d. llE (drndd i LntG ts &6 mr +rly lo u orE of <br />rlE rilrny wtn buld. or 6rrIErlEF[.,!d wtb &6 rh kd. n'nGlfo. t6rlt.r llrurh hii mlE os.,Plot6. <br />povir.d lh.t kh fillswd.Eml ir.i.Ldo.olI.Ed 6.st.l[ ttffi. rlE hlldrB or tlFowd nhBothinffiFr <br />of@rnkrni. rl' O"rr luilb $l hw lh. turdar ofpmuia tr lE m df, dil r'r hrild or ulpmE th. pmFry $r {E pBFri of <br />l.trolEotrh.nlpdrr, daciurwlyodElng snh lEd*d od lrE lo odnkl llt psitt (s< 'ttxa. BUur <br />,d PDlrnC.d. IlECor rxi.irLi.*t w d,6 d +t!ly to u otu of preFny {ho l[ldl or nrytmB lltGrr <br />.id dE oddr t, .h D.nj.Err sith . Corr..do(t) li!*d ru !r ro .lE Codn lc r Liw t *) <br />-l <br />m.rmli u.rlr Sc,r.. .B &PC Itrha,t.m <br />t.r.: Ot*r <br />lVOt(f,XS'COMtENS Im <br />DECIdSAIIq! <br />I h6.6y rmm un& F ry.rFtuyoE otlh. follos!! &.hriio <br />-l <br />h.B dn will mmllin ! ctnrrE l. olcoBnl L S.lf.lME in wl6, onlpd iot\ s FtviH lor lry Sclni l7n ol E <br />rrtn cod., tf, rlr Fdotlla. of rh. m* G" $hich llE Fn i irr.n. <br />_l.qiiryfi. inrhFtffioflh hrt 6. rltth rhii pdnr 'i d I ftllEr dtploysrrFmn h&,nlE <br />- d !o tor rntd ro rlE trnitar ontE o hn.fcditua. rdtNllr lal rlsld b.dmabitl 6tlr <br />hn6J orp.rdih Fo6nBofs.cbn l?0() of (E lrn C.dc, I tll, hdlnil cnrrrl, cilh ftr F.r.ilE <br />cril frr up ro.E hunl,Ed rlndid &'lld (ll0o.00ol. in.ddnxr ro rlE od of 6rFEr <br />orrhc lrh* C.il., inr.rd .d.norn y r fd <br />I h.cny .fllrm ud.r Frlry of F,l., tlll I 6 li6!.d !id.r tt!6M .f Ch.t*6 c lolllEnl! sit[ S.d.n 70ql) of DMrm I <br />ol E au.i6.rn Pm*rirE Codc rn ny b.c ii n tull6ctd.llc.r <br />I h.r.lry fmud.r Fnhyof Fjuryftd 0E n. @,r.rBro lrn5|.rory trllE Fflrffi oltlEwt b..fi.1tll6 Fnl ! <br />iraEd (sc. 109?. Civ. C.). <br />AttucAlr-uict4aAutB <br />I Hry.trmund.r p. hy.fFrtr,'ndotllEI lo,in! dehr.t@ <br />I).mlnnn PmrlAilEror t{or'fnrnn lj.d.6l Lrlhr.B ( I <br />'rL <br />a0, tdlr, <br />-R.qur.d <br />rnk o, trd'I'dl.n <br />-l <br />cdiry rhd rlE &r.l!rrsLr66 c8xdnB.dEro. lff$l e E{ ql r.hk l.lhn nFF( <br />-l <br />cdifo fid I lnr Erl rhr.r'r nrnn -d lr.r. rlnr rlE rlnn 'n6rn nn.r.oEr l .sG ro orrlb ynh ill (irt. l cou,r, <br />odru,r6..dsr .l,vrELIrlI3lot{'H'ryr.nlntdntr lrdlEr+yiol frhs Ctry rd (ounrvr. drd uF.n r,t <br />ih ( mnr.n<d pmFny ft trl'H <br />^pe[or' <br />or <br />^rdt <br />s;_;;;( <br />I P..nlre rrN (D116r)"&.t +rl '..-d fic?c <br />,.,. //r/o <br />UNDER GROUND <br />Waste & Vent tl>;la Tr 4wfi"t 6) <br />Water-Under floor Lr ut <br />Gas-Underfloor <br />Buildino Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent oltrln n a4flwa^./6) <br />Water Piping lf*ld 'r U"rl,4e,,*at4) <br />Gas Pipinq 'tl UI <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P{rap/Drain Line <br />Main Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing +lxln'n t "rer/: <br />'D) <br />Final Gas Test lt I UI <br />Meter Release <br />FINAL tI4 ha'Iil +lrrr*1L 0.> ) <br />INotes, Remarks, Etc.u\ <br />PLUMBING.INSPECTOR RECORD <br />_l h&! and will mri,r6in *otdt oDp.tror hn itr@rc. !i rqlr.d lry set bn 17fir of rlE L.bor Cod.. fo, rtE FfirmN. of <br />tlE mrt 6r vtEh rhr p.frir '! 'i{.d My mlat' oqFei.n rNnE. (as dd Flicy nuhbd G <br />)