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APPROVALS DATE ID/SIG.COMMENTS <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 Pipinq <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipino <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 Plumbinq <br />Final Gas Test <br />Meter Release <br />FINAL ? 4b2/ ,o(vt) <br />OWNER BUITI'ET DEI.CAII TIOIIIt !6,.!rE u& F.ly of Fi6y rt. I&aa$6@tt Codr-6 UE t4 for i[.6lro*t 16. (Sd-7o]lj <br />aun.d tn PIobir Cod.): Ary Cry 6 C<ilry *ttt EqriE . Fnr lo odrEl. .16. i4.ovc. .blitl q qi -y <br />{tucrrc Fbr lo nr isl).@, .Lo Eqriq rlr Trlk5r tu $h Frn r !o fl.. rigld rroEt ta lE o..lE a lica!.d F!!r.i <br />to rlt Fvita ol th. Coar-r..t Lta!.d hw (Ct4l- 9. C@ins wnh s6ibd 7000 of Divitio. 3 of lt Bsi6 ed <br />ProGsi,o Cod.) d dlr lE d th i d@F rlldld -d dr b.i ft. d! dbEd aalaiD <br />^tr, <br />violrin oasdb. ?0ll.t hy tly <br />rPplirll tu . Fnn tubj.dr t tpli..tn lo r civilFul, otsr BEth- rr. hqH dolbt (3500} <br />-1.. <br />ffi of$. FoFrr. d 6t c{elot€ eitt $ra6 ! U.n Dk @EFrrb'! wo& dir(t rd u. rlrc a rcr <br />irad d o&r.d 6r rb (Sa.7O4a. &!iE -d Ptotu E. Cod. Th. Coe-rr! l,i(@ tr .lo€ El d, lo - ow of <br />th.F.Ft, $,lD hrill or ingoq dEEr Id *tD d6 ut sl hierr kdf or lLo!8! t! d lE on ct9br..r. <br />providcd thtI iuc! idFlEcIt G@r idad.d oroftcd b. & Il lEffi.llE tuitiir or inFoEGn bbU*nhhor)d <br />ordlrbix\ E OrE efild wiu hE 0E hrth ofFovils t t d 6. dil d hild ( iryDE rt FDFry ft.d. prpo..of <br />-1. <br />i om6 of ri. Fordrr. M qcblivcty coii'.6ilu *in [.q!.d cod'*ror to @'itu.r dE Fjcl (sc- 70a{, B!'E <br />!d hlhb.Co&r Tn C.drErd! Li@ L.r doa bt qplylo &orGof F!Fr,*to t ildt q irytoq thalE <br />..d rto onrit 6r sl Flier. eth. CoEEd(r) li6.d FlEd lo rt com-l.r'r ti!. t&) <br />.L(.Ls <br />I btn, irm un.b p@rXy of Frury ot ofd. folbviils &.br6 <br />I blE !n ei tui .h. CdifsI. ofco6d ro Sdf-l6c b. w,ld @rtrpd.io'r, ! FoviLd tor bt Sdlbn l70O ofilE <br />t b Codc. lq {E Fl('trMcc of rlE wrr tu *ti.h th. FrI i bo.d <br />I luE.d vill Bid.in mrt6 @-y--io! itMc 6 rquird L, Sdlh l?m otlll l,6ot Cod., tu lb. F6.lm of <br />rlE rort for wtih dir FEh it ir.d My wortd oiF!.nn iGff. cdt al polay .ub6 c <br />ioli.rNumbn: <br />I .diry thd ii tlr Ffolltle of th. srt fd $th thit Foir ir t$( I lEn ml aploy ay Fs b 6y il.G <br />D ! io b@c $litr ro t Et@ @4.r.n! L$ orcdiSnia &d irE rh if I .lbrld bctc rr,it! !o tb <br />sAd' oqdrioD FEvirioB olsarbn !700 of llr tlbor C.rda I th.ll fo.lhltl @opl, w lhor FDrilr.. <br />lv^nnlllc: tutG b c@ 6ld' orralrbD 6!qt ! ELvtuL !d tlEll Dbi.tl & ctcloF to aittrl pa.fi. rd <br />.ivil fo6 c, ro oE h!.&d 0F6d dolld (ll0o,0@). i! .ddiriotr ro rlE 6.r of coqdab.L &u8a . FoliLd b. t <br />SarKn 10'6 ofrh.lrho. Co&. rd6l{dfiorEyrfG <br />DECL&rlIlO! <br />I hs!b, dIm und6 p6.!y olFJUry 0l. I m Uc6.d @da FDvlio! of 6 9lconnnoc'n* {irh Scdkr rr)(XD ollrv'rnn:r <br />ot rll. BuiE Ed Proki,B Co&, .n Ey l.a* i. in tuU hN td cfiEr <br />colllagclla!.udDlElcEd(I <br />I tdi,y .rEo uadu ra.ry of rajuy 6. dE! i . codlciE lafia {d, b. tlE FforlE otll. rqt bt rtir! lti Fal I <br />no.d (se. 3097. cit. c.). <br />AIIIJCAELDECIdAAIIA! <br />I Hr.fiinuds Ftr, of Fi,y @ of rh. blbf,i,3 <bbria: <br />DdD&ion P6he^!h.n6 Norifr.dion f.dd.l lcrllriD Oirl.,{0, Pd6} <br />-rqritd <br />Ldq of trdif.rbd <br />-l <br />.dit thd $. tcda.l cruldio6 iflEdu'g 6b.dor rmvd r. ml +pla.bL lo lht Foilr <br />-! <br />cariry rlr I lIE Ed fti! +di{trn .d ra. lhr tlt &oE inbrD.to. ir cdrd l..Elo orPly win dl Cny.!d Couiy <br />oidi6.lE Ed $d. t,s ELt to h{ildina .or*uda( .d lEtby rnhdir nt6.drnq oflh! Cily dd Co{dy lo rrna l{on tb <br />rboE trE oicd Fopdy lbr rtpdbn pqpo5. <br />Applio o. &dlskulu.:s st-s&_ <br />o( -Clcl <br />^.al <br />PLUMBING-INSPECTOR RECORD <br />D .._ Ap?&.u_I <br />Notes, Remarks, Etc.l <br />I