|
APPROVALS DATE ID/SIG.COMMENTS oi.E.Boit& DcchrriD
<br />I h6.6y.flirm urdd p. iy of Frury llll I m q.mF 1016lh Co'ti.do4 Leu L.w fo.,E folloe'n3 r.5n (c 70! I t B6in4
<br />.!d ?i!&!bi Co&) rt., Ciy or Coud, rtii Eqoa6 . F.ol lo .od.nd. .ra. iiQ6r. .l.fililb d rFi &, rMrc. Fs !o r.
<br />i!.ll.6, .!o r.qoit6 rh. .pplitul 6, ru.h pa6 ro lt,c . risicd n.Iffi rhrr tE or rlE i. ltcsd prsr l. 0E pmviriod of thc
<br />Co'l|ffi!Lsn d L, (Clrr.r o. C.Mt {t Sdbi t0@ olo'rlM t of rlE Bo'El.d P6i.rbd C6d.) o, {ri lRd
<br />rlE ir a6F E tor .!.1 llE t .a 6r {E .lLt.d .raqrbi .An, vbhbn of Scrih ml t.5 by m, .rtlio tu. Fih ruli..r. rlEpli..n lo r.ivil F t,ofdrElh.!6Ehond&U.n(lt@)
<br />_1. r @6 of 0E FlFty. or oy GEpbrq $lt *{6. rb.i DL.6n+.drbn. rill do rt rod.rn dE rtu rm a 6r ltr6d.d
<br />d oLr.d fd rL ( s- 7!ar. 86rs .d Proll.rd CorL lb Coir*.r'r Ltr Lt &.r d .rp, to 6 ow offi. FFry,lb hrld. or in .016 Odoe &d *h. dos ta! wo,i hiElf ot h*ltd rlro'd ti. or n6 on.Erlry6. FoviLd rh.r Mi
<br />iDr.or@dr e Fr iiadd dollqtd &.nl..lt hor.w.rt !.ilrlbtd nltrovoEr i&ld rltb F olorqLrion tb.
<br />OrG.BuiUn wltl h.E IE lrda ofrovi.S rh.r lE n rn. iF. build d inDioE ntr dr Frtoc oI{k).
<br />__ l. ! ffi ofrh F!p-ir. n .r.luiv.ly @nnxrila *kt rtqr.rl .od...rm to ormar th. Foi$ ( 56. 7044. BullB rnd
<br />Profr-bi aod. Tb Codddd r Lru l,* dd d .ppt ro e o*E of FoF, *h. b{',rt d n9.oy. th.d ,.'d dE
<br />@ffi aor Bi Ford *rh . C .c6(rl li{.d ClMn ro lh. Cdtncs.l L..u trs I
<br />I D crdr. @dd Sdi!,l AP( inrhs'.rn{,
<br />loEf,fElcaltlEllallo!..Dlcu8arp!
<br />I hd.by .,Im und6 p.uhy or Fjury or of r,E folbriIr .k<Lrrtio6
<br />_.1 iE Ed ,ill rillrb . Cqtiror. of C(ad lo S.Ennd for dt6' @nV. rbn r Fov'a.d L. t, S.cd ,r& o,rt
<br />l.rt rc.<L. t"drFb.dGof lt rdt &r *tttdE,6!i i. ie!4
<br />I h.t..nd *'lldrt
<br />'n srldt 6ip.Mrbn tr(rM. ! rcq!ftd by Sdion,?00 of tlE tlbor Codq fo, rh. dformm! ol thc
<br />E,t t r rtEl' fi6 D<ni 6 N!.d My s*d 6nD.6rbn nEulq! .ai.r.ad Flky unb.r Gl
<br />Poli.y NuatE:_ 8:pi6, _(yDid Btd or b@tEld.d if6. FDi i for on htd.tolLn ttl(,)ldb., (
<br />(t-rit,t",i,,t pan* ofrh rdt fD.,hti$.r6Dr. r!( |rt ll!u.ety.,r po- r.* -ro-lq /'tsm rbi.d brh. s*i d,o.Eru Lsrrc.l'ior'r.!d.iD ltr nr.iocl t6o.{bd ro 6sd*/J / I
<br />.la.rrinFsiiE ofsct- rmoru. qE- coa. t,rq 6;l'ibcoely'ahrhFEibc .'/ H-
<br />,"c
<br />-
<br />$, t'1...,T\,oerf+ ,-Lr P
<br />rt^ltrtltc Prur. r. ten Eto -ri- e-.r " -rrftl .d drll oticl - aabp4 otio.t p-rio
<br />"ra
<br />.i"it
<br />Rr6 u' ro c hr.hd rioEd &llt (31oo,@).b .iOIo to o. ..r orcoqdiir.. d.Era .. Fqi..t br d! S.cb. !(,,6 ol
<br />rf,.lrt n cod., in rrd.r!,ntrt
<br />usEltEDcatrIaacraEslEgtSAllq!
<br />I hftby .,fm udc. FEty of Frry rnr I 6 li.lcn '!d6 p.lvirir of Cler6 0 (offibt t ih S.(ih 70ool oa Divi.btr l! of
<br />lh.lrBiFsDd ProrBlios( o&..n4 my lic.e n in folltu...d.lfd
<br />1^3
<br />I h.r.b, lrd !116 Frry of Fr{ry d.r
<br />i..!d (S<. loc7, Civ. C )
<br />ld{ha .Jd, t . rh. Fl.'|!lE. of tlr sdt for wnth dri. F6i ir
<br />aftu(bxLs.t|fcl,aa rlatrllmlnh. P.nirl^lb6r6 N.ilE.rb. f.n6 R.rubrnnr ( Tir L ,l0. f.n 6,
<br />R.qun.d I nt6 of Nonfkrl hn
<br />t c.nrfr rh.r rlE f.dc.l rsrLr.d t.rrdirc @r rprlt.bL lo Inir ,.or<r
<br />E bf..Dti! i cqlEr. I {c ro coql, ,li .ll Ci, .!d Co{d,
<br />lw.br.rrhorn!r.rr6.nr ir.solrhrai).nd(iu tudr.rur.nrh.
<br />'lG
<br />P*"q*rFii) +klgrz..Buegral^
<br />?-2
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<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 />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<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
<br />FINAL tr /L /tr- ,J*,-o r\
<br />Notes, Remarks, Etc.
<br />PLUMBING.INSPECTOR RECORD
|