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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNDlI IITIILDER DEI,(ARATX)N
<br />I hcrchy /m,r uDdcr NMlry (n pcrjury lhll ! 0nr crcnrpr ron rhc C{,nr&r)^- t-i(tr* Liw ln. rhc lnli,trirrs _irw,o (sc.70.11 5
<br />Rx\inc!\ rnn &ot$t'n Codc): Ant Ciry or Counry qhich toqrn.x r tf,n rb (ur{rucl. rllcr- nnnn!(. dc'nollsh or toN'rir rny
<br />{tudurc. pri, k, ir\ i$urtr... rl\o rcquirc\ rhc {, .dni lar \u.h |*ann n' iilca li!trcd nrrcttnt rh h.or $c i! Iicctscd Nnurnr
<br />h rhc pn,vi\n)ns of rhc C.ftktr s t.,.c.*d t]s (Chrucr q. C. nncmrA *irh Sccrion TuXl oi Dni\n,n :t of rh. Ru\ifc\\ rtrd
<br />Pnic$inr\Gllc)orrhd hcor\hc tcxcnDr rlrcr.lionrand rhc bl\i\ tr rt rllcg.d crcrrri,rr Atr_viohriotolSclii,nT()-ll5hyant
<br />rpllicrnrfitr r p.nir \rSJcd\rhc rytli.inrtur.i!ilp.nrlryofnor'frtrcrhrtrtlvchundrcddolla^(St(Jo)
<br />-1,
<br />as owmr of rlE F!,Eny. or my cmphrrs Dirh wlgca &r iEn $k mnp.nsdioo. wiu do lt* eort sd th. slrBt@ ii ml
<br />inrcddl or oficod tor eh (se 7(x4, BNims. md Prof$don. Codc Tnc Conhclols LtcN kw do* tul lpPly ro M osffi of
<br />rtc nml].ny who ttrittc or ifircrr rtt@n, .nd *ho .L4s sh e* hirelr or hcrslf or lhrcush his or hc. own.tployfts,
<br />llovidcrl thd su.h in{,mwnh e mt i'r.rH orotu forslc.lt nokw.llE boildi,S or if,ptowmnl isstwthinoft }Er
<br />oa@rllhtb'l dr O*m, Built, si! h,v. th. hnhn of p6vin8 1hd lr or slE dil mt t{itd or i'rtm lnc Fqfiy fM dE Plrpos of
<br />-1.
<br />!s owmr of rlE tmp61y. an crcluqirely .o.racring *irh licrn{d conrEtou lo connEd llt poirl (S( 7Ix4. Buiim$
<br />ad hntusi6n Codcr Thc Conlsror's Lic.nsc Liw docs not splly lo owfler oflmPcnywho buildi.r inFrows lhcrcon.
<br />and qho .onlm.k lor sucn pfl,j.rls wirh ! Contncro(o latBd plFu.r rd rh. Co .0dols LiccnE L{w).
<br />I ncrcnrfl undcr Sccl
<br />o^,., 4 /:-t /rQ o*,e.
<br />I2C(:\-BNIJN
<br />I hcrcby affirm undcr tcnoll, of pcriur, onc 6f tltc lollowin8 delndiions
<br />-l
<br />hlvcandvillrMinllin!Ccnificxr.olCon\cnrh Sclt l'rsurc lt $(trk.rJ conl,xns.lion. $ pmridcd rltr brS.crion 1700ofrhc
<br />Ij6or codc. rorlh.Dcrfoarsmcoflhc *ork for*hich lhc pcrnrir n issucd
<br />_l hlr rn {itl minliln wo*cB @npeN.rion insnN, er BNiEtI by Seli,n l?m of llE Libor Cod.. lo, tlE Frfo,rrllB of
<br />rhc tui for wni.h rhh Fmn ir ii$ed. My {dt6' @rpc.!.rio. iNullc triq !d poliy tutrtbcr cl
<br />-l
<br />ccnify thot itr rhc lcrformamc ofrhe e.* t r wli.h lhiq pcrnir is issucd,l sh.ll nol employ.ny IEtun in rny @nmr
<br />e &\ ro lE om rubjEr ro rh. wort.n smpensrri.n Lws orcdifomi!, and a8rce tirl if I sholld bec.rc subjml
<br />'o
<br />llr
<br />w6rts{ onpcnsdri.n pmvi.io.s of Sdion 3r0o of lhc t tior Codc. I slul!. fodheirh snply sirb l}br PDvnhni.
<br />WARNINC: Fiilu,c lo sw wfrxcr' L$np.nerion d,acrag. is unl.$tu|. and sholt subrcd an flUlort.lo dimin.l Fnlllx afla
<br />nr o,c hundrcd rhousnd dollds ($Ioo,fix)}. in lddihn lo lhe cosr ofomll.oetion, .hruecs as pmlad for thc
<br />SElion.1076 !l'lhc Lltnr Co<lr-
<br />Dr,.: 9/rr ,/r
<br />inro.i rnd ariorfty\ fNsI
<br />lurL!&ular
<br />I hcrcby iflm udc. pctr0liy of puury fiol I m liensd und( !rcvhion of Chapto 9 (@nmmhg sith Sdrion 7000) of Divi3ion 3
<br />of rh. Busincs snd Prcac$ion. Cod.. ,.d my li.trs k in full loN rd .faal.
<br />CO!$If,!,]EIITN.LENI'INIiIGE!CI
<br />I h.rcby nfltr utrdcr IEn0h, ol lcrrlry rhlr thBc is u .ondru.tidn lc.ding ,8.Ny lor thc Pcrformcc ol lh. work for which this Fmir is
<br />is$cd (Se, 3097, Civ. C.)
<br />A[PllCTlIifOECLlB/ l]]gli
<br />I ltehy dtmund.r pcnrlry ofFcrJUr) otrc.lrhc lnlk'wir8 dc.lmrirnrs:
<br />D.nx'lirnnr Pcflnir*Aslr{os Norilic,rion lcdcrrl R.-!uhri{ins (firl. '10. r'r 6)
<br />Rqtri,.d LcrrcroiN'ifrdi,nr
<br />-l
<br />e ify rh.r rhc fcd@l ESllsliors ESndirB .sbcslos rcmul m not lpt ltrblc ro fti! pojftt.
<br />-l
<br />enify rhd I IEE Md rhir spplkrrEn .!d ,l'r. rhrl (E .borc i.fomd bn i. coft<I. , are lo
<br />ordiEmcs ud srrr. L.$ Eldlrs ro blildins NBE5.q. !n hcE!y'&lbri& EFEsnllris of I
<br />lborc mnfiomi pmpcny lor irorccrion purDo&1 I / ,
<br />Appro,G^!6rsrs',u.: * L rJ*- L*
<br />coarnlv rvirh rllCirynnd C.udy
<br />nis Ciry !d Couniy ro .or.r u[s. r
<br />+-
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent /o // //t 6ll/a/71t /6L
<br />Water Piping to LbA D4,1t ?+-/61-
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Houqh Plumbinq lo /r /.,c <ott-/ ft\-.,'
<br />Meter Release
<br />FINAL
<br />Notes, Remarks, Elc
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Final Gas Test
<br />D
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