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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS owNuR a!tLtluR DttLcaRA I l()N
<br />I herehy innr uDd.. ptn y olJr.rjury rhit lMexenrr lrch thc Contrcrna l-i..trse Li{ nr rhc [,ll,,w'ng rc,ch (seu70]15
<br />Itusin.ri r Proaeson Codc): AnyCn,or CouDly qlnch.cqtrtcs o p.nri i, conrlru.',.l'8, nnnKrle, dcnr|sh or qsr an!
<br />srdctrrr, Drcr t' s Fsrrnc., rko ftqlr.s rlE rrpl'cinr fttr such pern n, lilc. ssn d rdcm.nr ltd h.or slE h rcssl pus \
<br />ro rhc pmvhions olr[. Gtrlraclo.s t-icensed L.w (( h0!r.r 9. Conmrncins $ilh seclion 7000 ol DivBion ] oi(hr Bu{ncs inda
<br />Pnnassions C.de) orrhirheorshe ii er.nrrr the,efrom md theh.sh fffrhe ill.s.d.\cnuron nyrkrl onofs(hn70lltl.yrn,-
<br />Dpnlrlnr ,i, r,!cnn slhJccls rh. lpplicrnr r. . oril pcmhy o l nor mr. ih3n filc hunddl Jollr. (S5flrl
<br />_1. d owffi of tt poFny. or my .nplorE wi$ qirs d th.n sL otrD€darb,r will & t mit r,!d llE rlndE ie mt
<br />inradcd or oltdc<l for sL (S6 7()44. B!.in4.od Plbfst N C.d.: TnG ConlEclol3 LilE L.w &t. bl opdy |o d owB of
<br />th. rmp.dy wts lril& or i,tl,bB ltEml\ iid who drq $t sll( hid*lf or h.6.llo,lhmt8n hh or tE om.nPLrt*.
<br />thvid.d $al $ch intprcwnEt! e El iddd.d o,.ft..d &r ek ll towe,llE btrildnE or i,r{ftrBrMl ii sld wilhin oE }w
<br />ofotrpLlior\ rh. Owrc. auildE vill IBE rh. hodm ofp,lvng tlEr L or slE dil mt t{ild or ini'68 $. t,oFry for llE pu.F r of
<br />_1. es o$,nd olthc !6r.ny. .o .rcluriv.ly c6 arinS with li..N.d .onlrsclou to snddcl llt Fsjc.r (Sd 7044, BBrffi
<br />rnd htfdeion Cod.: l h. Cootncloa! Licens Low do.s ml lpply to a op..r of tmpdry wt6 buildi or impm!.s lhcr@(
<br />aod who oni6cl. for iuch tbjak wilh a coilrrdo(o lr..tri.d pulMr io rh. Co rodor'3 LiccM L.w)
<br />llEcLaSAUo!
<br />I hachy lilim undd p@lr, ofpEjury oR ofth. following dehEtions:
<br />I I'ir. d Nrll mndfln iCcdific.r.ofconse lo S.ltlnsuic f{tr Ndrhc('conr!.isalion,.s lovd.d lhr byS.crnnlT00of'ht
<br />I-ahJr corL. fir rh. r'6l maM. ol ihc qo* lbr which rhe nfnrir is resued
<br />I hrve rnd rvrllnDrnrrnrsorkers co'nnrnsrr on
<br />'n\0rxncr.
<br />n\ r.qtrrd hySe.ron r7([)firlE LahorCodt. Lrrherrhanimeol
<br />lhc *or[ tur$h]clrrhh!.r, isFsd Mylvor[m d,nncn\nr(nr trsrr.'E. cini.r rnd lio[cy nurnhcr 3rc:
<br />l'olicy NuDh.r
<br />-l}rrcr
<br />-l
<br />ccni&lhrr in th. pofomtuc of rh. worL turehich rhG p@n is 6fled, I rhlll ml.mploylnypcMn in tn, mdnrcr
<br />$ as b hor subje( to th. mdr6C €mp.nsltion t0wi ofcilifomio, and .sG inar if I lbuld t.sm $bjet lo th.
<br />wo d' codDmrtio. povirioN oI Sc.lion 3700 of the Lak'r Cod., I shall. lonhwrln 6nply wilh lbs lJmvilions..
<br />wARNlNc: llhE ro surc wofk.B onl,.Mrion o l. ond sh.ll shj.il e 6ploF 6 dininal pcEh
<br />clvrl lin r u! t' om huodr.d tholsnd dollan (5100,00{o rht co{ ol conp..$roi.
<br />Sect.n 10?6ofrlE I rh)r Code. inr.r.{ rnd
<br />I hRby afiim und.r p.mly of p.rJury filr I m lic.Nd lndr pNlirion of Ch.$r I (6.1ming wilh Sdt
<br />of !h. Bwi6r o.d Pmf6bM Cod.. rd my lic.M ir in tull foc dd .rdt.
<br />_ Corlr..lor:
<br />caasl!lJcu9N"LllulNc-f,Gflcr
<br />I hcrby rmrnundd pcn.hyofrcrluryrh.r therc F n con(dcrhn lendrtrs as.nc! ror rhe Fr,imnce olrhc *ork hr *hicn n(s rdhir rs
<br />'so.d (S.c ll09?, Civ C )
<br />Lende' t ddr.rs
<br />Allucaal![clABAlll]!
<br />I h4l,y rllm und.r p.nolty of p.rjury orc oI th€ follotins dcctlnl(,ns
<br />Oenolirr. P.rm r Ash.{os Norincalon lr.dcnl R.8ul0li.ns ( lnl.40, Plnr,
<br />R.qun.J L.n.r of Norillcolbn
<br />-l
<br />c.diry rh.r fi. fcdcdl rluhtioB ceddiiS 6rb.{.r E@hl ar. nor lpplisblc to lhis pmFt
<br />I asid lo mnplywnh allCity,nd Counly
<br />ordiMtus lnd Slll. L!*
<br />ab.v. m.nlioftd ,bl.ny
<br />iv6 ol$E Ciryrnd County ro.nln lpon th.
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />lr4ain Drain/Pool Piping
<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 />Rouqh Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL \\h,q\\q LM}'\(
<br />Notes, Remarks, Etc.
<br />*",_&214D_
<br />Roof Drain
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