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APPROVALS DATE ID/SIG.COMMENTS OITND,T BI'ILDA-R DEI'AR TION
<br />t lrr.hy r,Im lndd Fdly of F.]llry lllr I d d..pl tld 0E Coil..ch Lr@ L.* for d. nllk'wrg .!&o (!ie tul I J
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<br />!mti6l, 6r i FrDn rl'J..r. tlE qrlirllr ro..ivil l.Mly orEr mc rh.r liE hudH &ll& (ttfll)
<br />-1.
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<br />E p.iFry rlb toilt d irIrN tllEr\ .'d *to d- rdr qtt hllEltor lsrlf or lllotCr h! d lF oh .trPbylrt
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<br />rd Pnrt-imCo&: TIE Collr Erdt Lic6F L.rdB dr lpplyro o6Eof Dm9.nywho hild. or,!9DE llrddi.
<br />.!d eio @!l.-rr fo. uh Foj.(r Mh r Contu(i, lEm.d Fdtr t, E Co.rndd r LiG l,r).
<br />I m.r.!ll{ udd srrbn-. B &Pc ntrrh(tur,n
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<br />DECIJ8AII!'!
<br />I lrr.l') ,mm !.d.. Flqly ofFqury or oflh. folh*|n3 &chdrd
<br />-l
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<br />q"p.drih i@ ft.. s EqliEd hy sdbn li'00 of ll.. uL, c6d.. &. tlE Ffolrr*. of
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<br />WAlNlllG: tnIE b EG hrt rl cmFlri! 66.!! t uhwtuL .ri ilnll rbin E drpt F to f,i.l Frlai !d
<br />cMl f!r. uD b c lnritd lhrEt!.I dolls (tlm.ooo). h .ddihi lo llt 6n ot ont t-lin &r'rrit ! FEviLd t'r dE
<br />SG.ri.. lo?li oflh. lrt . C.n . nslr .n .!(!r! &.r
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<br />or rt B6iE. !i Pmtlbr Codc, trd 'r lifr i. i, irll tE td .fEd.
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<br />I h.Eby.rfm nda Fd!, ofJtt n,$d llE i.. c nstm hnilt.sdy l', rlE F8)llllft of ll* e.t h, wh.h
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<br />AIIIJCAUI.IECId8AIIO!
<br />I h.rdry .ftn u!&r Frhy ofFrjlry d of rlE folheint &cl.rlirn'
<br />llmlhi,n dtr+Ar!.rd l{orifk lih }.d.nl R.8!hls.! (ItL :10. P.n6)
<br />_R.quid L.rl6 of *rifErntr
<br />-l
<br />€lilylh tlE H..l c4bi, Gtr{dt dalotllmrdd r,l +llirbl.lo lhi FEF1
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<br />calr9dri I l-. r-d lti +Plirin.d.r. tld dE &E irbEnion ii c.t!.d I .atE lo @nPly rih.I C.v.ttd C(M,
<br />otdirlF .rn $!t. lrE Erilt lo hildig drrlrdin\ id h.rby.rldi2. EFGriic ollhi. ctv rn co.mv io .rr( '+.n tb
<br />llntr .mti,xd nftFat t,
<br />rlAi.9alata-
<br />,,^,,1-2 5''ol
<br />UNDER GROUNO
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back FIow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL
<br />Notes Remarks, Etc.
<br />l-lt-t?
<br />PLUMBING-INSPECTOR RECORD
<br />t rdd'r tulda
<br />-
<br />Gas Service
<br />IZ* tD,
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