Laserfiche WebLink
PLUMBING.INSPECTOH RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDDR DELC:ARATION <br />I hcEby .mrm uxlcr !e ndlry of Frjury rhd I m cx.trpt ,on lhE C.nlmcroN Lian* L5* for lhc foll6winS rcJson (Se ?al l 5 <br />B!si.c$ lrd Prcfcsio, Codc): Any Cny or Counry whhh icquircs 0 Pcnil lo on{@t. lllg,inlorcw. <kmliqh or rcnan sv <br />imci@. prior ro ils isu!re, lle r€quircs rhc rpplicd fq such Ismil lo filc ! sigftd .ldcEnl il4l hc or ih. ir liensd puNml <br />b llE Fovisionr of rh€ Conlrcbis Uc.n*d l,w (ChtPls 9. ConmhinS wnn Scclion 7000 of Dittion I of llE Bnrin ss ald <br />Pmfcsions Cod.) or th,r lE or sh. h cxchpl llErcfton !trd lh. hdh fo, lh. .lLed eicmflion Any viobrior"fSctlhn 7011.5 bv a.v <br />lllpli.a for o lcrmil subi{ls lne lpnli.afl ro a civil Fn.lly of ml mE lhd live hu.dFd .lollus (3500). <br />I.r\ u1vtr$ oilhc I'IrrEny- o nycnr olccs $nh w scs r\ rhct $lc comp.n{rion, Nill do rtE worl 4l rl.t {Mw s mr <br />i uxlRj or otlcrcd lor slc ( s€ 7(114. Busimsr lnd tt{,tc\sion\ Adc: mr Or rocror's Lictr{c lj{ docq noi o,,Plv ro an osncr or <br />rhc lmpcny *ho huikl\ or in]t'or\ rhcNi- xlRh)d,r\\!.h$u*hnnscllorhcrscllorrhn,uBhhisorhcto*ncnpk,yL{t <br />pr.vntd rhlr such iolPrcvcdnrs r. nor n otuil n ollcru{ lnr slc ll. howcvcr. rhc huik,iDg or i'qrrcvcnrnr is eld wilhin onc }tu <br />uf.o lndir . rh. Owtrcr BuikLr eillhrv. r)r hurdcn offiovin8 rhll h. or sh. dU..r build or iq)n,r rh. Pnpcdy nr rlE PurF){ of <br />_1, !so*nu orrlr pml.ty. 0n crclusivcly c.nrrucring wirh rootr{od ih. tuF_r (scc ?0i1,4. Businc\\ <br />rtrd hrli:\\i,ncoic: lhcConrrkr'\ Li.c orproFny who builds ot nnDrcvcs lhuron <br />thc C...h.ro,Y-i.cn$ L!*I <br />_l {T d <br />.""".{ <br />I lrcrcby llfirm lnder pcoal, or Pdury om ol lh. follo* <br />Ihr\cn w'll rminuin ! Ccnillcart of C{n,*nr t, S.lf l n{rt n)r uor kc^ conrNnsnrion,ns Povidcd fitr hySLtri,,nl?molihc <br />ljhtr Codc. for rlr lcrlnrmNcof rh. sort ain which rlt Fnnir i\ isrucd <br />-lh.vcandwillmi <br />rin worlcB .ompcnsarion insliatuc. as tquind by Scclion l7()o of thc t$.r Cds for ll'c pcfor@ic. ol <br />thc wk for {hich rhis lciEI i.s iss.d. My qortc6 smlan$rio insuMo @Ekr and Flicy numhn m: <br />-l <br />ccnifyrhir inrhc p.rLi,mncc ofrhcwort for whictrtir pcrdir cd.l shall nor.'q,loy,nt lErsn inlnynlo $ <br />s !s ro b(sN subj.rr ro ttE mltn'omleBltion Lws of <br />so,k rJ .omp.nsrlion pmvniois olS*rion JTooolrhc <br />F' ornrpcn\ar,on @lcru8c <br />nd dollm lSlm,&O), in <br />onplotq lo lnniol Fmltix &d <br />nu8cs !\ F)vidcd tor rhc <br />I hcrcb, alfilm und( l)cnrlty o f Fc rjury rhd I !m licci{n rdci wirh S(ri,n 70{10, of Division l <br />ol lhc Busincssand Pofcrsi.nsCod., lnd my liccnsc is in flll n,@ dd .fitct. <br />coNsltlr(-U(rN I FNDIN(; ACENCY <br />I hc(b, nfllrnr undd ,)cmlty of |{rjury rh, ntrc i\ r.on{rucrirn hndins a8ctu, ttr rhc Pc.rornErcc or rh. work rd qhich rhis lrrmn is <br />i$ucd lscc :1097.Civ c ). <br />ATELICANLDECIdSAOON <br />I My snim lnder Fnrlly of p.rjlry otu ol lhc followiig dcckd io.rl <br />Dcnnnilion Pcnnirs A\nenos Norincnriotr <br />-Rcqln€d <br />brr* of Nolift rlion <br />-1.(riryrh <br />rhc lcdcral rc8rlar <br />-l <br />ccnif, $ar I hlvc rcdd rhis trpplic ion <br />oditukcs lrd Srarc tt$ EhlirS lo bu <br />6ovc mnrion d fm!.ny for i.sFdio. <br />) <br />tEtat <br />P.mlle rrm. ( pnno: <br />1 <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Buildinq Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipinq <br />Rool Drain <br />Tub/Shower Test <br />Rouoh Water Heater <br />POOL/SPA <br />Ptrap/Drain Line <br />Main Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool HeateriGas Line <br />Miscellaneous <br />Water Service <br />Lawn Sprinkler <br />Sanitarv Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Tesl <br />Meter Helease <br />FINAL 9,bllLs n r4n ruj:is) <br />Notes, Remarks, Etc.T T-T 1 trl <br />lxnJcr'\ tld' s <br />I <br />UNDER GROUND <br />Gas Service