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PLUMBING-INSPECTOR RECORD APPROVALS DATE tD/stG.o$Nt:R Btr ,DtiR Dt:t,('AnA I toN I hr.q( nfn.in xnd6 l.nahr of ,Eit,r- rhd I d <r.nTi lreo lhc ( onhcloB' I ico$ li* lor lh. follo(ins rclwn (S( rl)li 5 rnr'h6\ and ltol6sn'n Cod.) Any City or (-otrnr! $hi.h r.{tuna r lEnii kr .o8tud. ,h6. imln\i &nolkh or ,qMn M, snNtuetrnntrns issuan.., iko r.itund rh. amlicur lir slchrErir lo lilc ! sisn.d sralmol rtd hcorrt is I'cs.d puFuanr tr rh. I,o\hnrft .f rh.6nk..ro.s Lic.ns.! l,\ l( haprs e. ( omnrmcirr \irh sdrion 7r)(xr of Dnilion I ol rh. lrtrsin6s .nd I)rorssnrns aode) o! thd hc or sn. is.r.nrr rhd.nom dd rh. l{rt nr rh. allcrcd .rdfl i.. Anrvioldri.nofsdion'70rl l h!a.) .ppli.ddntrarMrnsuhts-rslh.lmlic.nlto.cnilpcnahvolnornmr.rhmn\chtrnnr.ddollffi($500) L a osG of thc FlFnr. or mr .mplor6 wirh s!s6 a th.ir Flc conposeaon. will do rlr po,i &d dE nirl6 ! mt intad.d or.llr.d for slc (Sd.70.1.4. Buind rnd Pml6lioN ('o(k Tlk Co rEroii Li.e t w(t)6noreplyrooosMof fi. FnFly wlD hritt or in'pmv6 tlE6n, dn wb &6 $ch $od hia.ll or h*l f .r ihDUBh ia d hn os arplotc. Dmvid.d lhal ruln inFo\lmrs@ ml idod.d orofild torrlc.ll hou6q. rh. hrildins or inFsEc, i&B$thin.n ra ofcompkio., lh. O*G &rill, *ill h&. $c hrdi ofForil8 th, h. .t ilE did tur hrild d irFoE tnc FlFiy 6r t& p'rFo* or l. a osn6 ofrh. Fop6rr. m ddaiElt co.ba.rire snh li.cB.d .odmdoB to coisruct lh. Frj..t (Sd 7044, &8i6 rd PDfsiiCod.:'rh. Co relo.r Licd* L"e doB f,or rFplylo anow.nofFopsrtwfi. b!il& or inpo6 th66n. aid wh. codr..r! for sch FnjeB *irh ! Coln6(o(3) li.d!.d prB@n lo th. Co'n6doi! Uccc L!w). I m.x.dpr undd Selion B &Pc (trlh6rBon D.re (h er r!-ELEts!:rllltt[rs tto! uEg,:!a{!llrB Ihc'clN rfli' trnd.T ncmlrr.rFrr'^ fnc.lrh. (nLNrtrU lr.lirir({s I luv. nl s ill moinra'n | ( â‚¬nificarc of ( onhr ro Scll-tnsur r (r \ orld.' c.mp.Bar nrn. as pFvidd for by sar ioi :r 7c{) o I rhc l/Y.' (.\k. fr1rh.p!r.nndnc.ol'h.ulrl in "hrhrh.r.rn{ 3 sq.J $Yn^" *u - 'u .",*. ,L0116' (rmF**n,n i*urarcc. A rcqund by sc.rion 17rn orrh. r abo. (od.. ror rh. psronunc. or rfc (rr( Lr \htrhrhNfmni ri 6!u.tl M\$ql6'( mnEdn'n.n m(.m'd andF,lrcl numho ac &,*,n .STa-aa- Fr.r -.- "_*,.Qaoa4_9/-/?r'pi'., 9-V -2Q I cdifylhd in thc pnforl1a. of rh. $6rl f$ trnichrht p6nn ir i$ucd.I3h!U.or strploy ey pEson in uy mns 5 6 ro ll 06. lubjdl lo lhc e*d' smFnMi.n hr! .f(rlifomia, sd reB rhd ia l should b<.c lubjd to rh. ert6' conp.tudion p.ovtio6 ol Serio. !?00 of rh. Lrk{ Cod( I 3hall. fonh$ nh .ontly sitn rh.s pmvlioB.. \TARNING F jltrrc r. sc $0116' coopnerio. .or@s. ir urhrtul. &d an mplo)s ro ainiml IEuIi6 and .ivil fin6 up io orc hu.dr.d rhoMd dollm ($!m,0L1o) sdron 1076 oath.l*or(odc. i 66rMd.lio@ysac k,n. dmrud a froud.d for th. (.^n,7-4-z-o l Satby .rnm u!d6 pdilh, of prjuy rl'd I @ lieE d uldq !.Dvnioi of Cl'.Od 9 (dtfucins wnh Sdni ?000) ol Diliiion l .a 0!a Bui6 ed P'oklioB co&. &d my lic6e n h tull rora d.,16r ,/,..*icr,; D&* .3 -?-\o (xsrB.!(lt()N.LErol c_agf,!(r I hqru rmruund6 p.n0ll' of!.rjuD rhd lh6. is.consrtu(i,n bndinN i!.n.y ntrrh.pdonnin..ofrh.$orlftlr\nichrhn p.flnir i! issu.d(s( 10'Jr. civ (-) ATTLICANLDECI,AMIqX I hqt'y aIIm und6 !rc..l, of prjury oft ol rh. tollowins dc.brlioN: Dnnolition Pmits-Asb.ios Nolificrlior F.del R.Suhio (Tnk40, Pd6) Rr\ui'cd I clrq.f Nor'icdnn I .dify thd rh. l:d.r.l ElulrlioN rcgrdin! ab6l rl . nor rt,nl'c{hlchrhisprolNi I .dif, thd I hrvc @d rhi!.pplaalio. lrrj ywnh 6I Cny!.d Counly odindnc6 md Sht ti$s Eldi.! io boildins tr6ofrh6( ily Md Counrrro dr6uBrnrhc /n*run n.,) -?-zo UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Br{ilding Sewer Area/Storm Drain lntqrceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Pi tn Tub/Shower Test Rou gh Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pi ptng Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Water Service Lawn S inkler Sanita Sewer/Cap Back Flow Device Rough Plumbing Final Gas Test Meter Release FINAL Notes, Remarks, Etc. COMMENTS Lifi.Numb.r f\6.'\ 3 F tu< Roof Drain Gas Service