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APPROVALS DATE ID/SIG.COMMENTS OWNf,R BUILDET DELCAR TION
<br />I hslry rtrm uidd Frty ol p.rrrry d{ I d cqr ,bm 0E Codndd Licdk Lrw br rh. lllldEB l . (s< mll t
<br />Bu'.B &d Pm6dn Cod.l Ary Cny or Cdlry,h.h E+G . Frd lt! 6r.rEr. .16. mFstc .loolit or EF, Dy
<br />rdw. Fs'o !r irs.,.b GquE rlr @l.d t,r Jd! Frr l. ik..'aEd ir.lEr dlEntrblr.,iid Fnen
<br />'o 'lr Envnrn of E ConrBlG r L'en*i L.s (ChFd 0. Clrrlftrin, rirh Sdin ?0oO of Divnion I of rlE Blritur lid
<br />PmLsion. Cod.)o. $,r lrd,.h. i. d.nlrr lhdttrnn md dr t'an tu rh. .lLr.d .rdlir hi Ar, vblltliin ofs..tih 7011.5 by &y
<br />torliul for r Fn ot.drllE +pli,r 'o. citilp{1, of mt mcth6 fiE hi(Hdolln (!fi}
<br />_1. s orB of rh. rnFny. d ny d@httd *irh wrtE s lh.n mk dtrp.nrdoE will & rl! kt !n [E iridft . br
<br />i,nqi.d orofi.Ed tr d. (Se ?u4. Au@.rd Pin&sa'B Cddc ItECo r.tdrLi{*tndodm|+tlybdolaof
<br />rrE FqErry rlb l!i!. a !!$106 dEb! trd dn ds rdr u* nlrror lEElf d lholrfi lit d lE oh .nllh,ta
<br />Fsqd.{ rhr u[ .rrylffift d ndn dddEd s.-t l( lhffi, dEhlEitd.rqwtrd.-Irv nd rEord!'kn\ tlE (xr Bu'Ec s[ llE E Lnt6 ofFnvrt lh. h.d iE.!d rx hnE d in!.sG iE roFy ft. rlr F Frot
<br />_l..ffiofrl! FlFry.6ellirly€irdlfrrt liqr.d oftdm ro orfrtd tlE FDF {Sc ?Oa,L &1!.
<br />-d Pnkncorb: TIE Codraa r ttr lrr<tE|n @lyl6 b otG.fFir.n, rto hrild, o lrpoB Eaf!.nd wlb o,.c.fanldFoj.(r wth.Colrnc.riil lisr.n loru ro rltcor.ncrd, Lild,-.*).
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<br />m .!.r!x {i&r Sdrnn-, B tl P.C. ftr Ihir ffi
<br />Drl. ()'.r
<br />]Ia8[E8[CA[TEASA:U0!
<br />DTCI {I TION
<br />I h.r.[y .Iim {,r&r Fdlry o, F,lry or of rli tibsns d.hm
<br />_l h.E rd *rll tu'dlin. C.nrfEr. of Colmr t. lur-lmE nr wl6 ohpotllioll, !. rtrr'dd fitr by Serion 1700 of
<br />'|f,L.htr Cde for llE [!€fm . of llE m* for {h.h rlE Fmn ir'(kd
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<br />eniry 'ld o rh. FtrlllM. oiilE *o{ ftr *tEh lh.. p.r n nu.d I d!.ll Dl .qloy ey Frin in .ny MF
<br />n riot@dabrdn t wr.loqE!.in LB ofcdr6.E,.!d.{c rlr if I tsb h@cnbitr kldimri6i onFt-rm ,roEi.d of S.drn ln O of rlE trlu Cod., I trll t,rrnrr[ d+1, un rlDr FoBM .
<br />civ'l 6mt uo r. oE lln'tn llsud rtrllIr (tlm,in rddrion 16 dE..r of e.FErd\ iLrt. r .r Fv'dcd ta dE
<br />DtcratArlotr
<br />I hftb, .116 ldd Frry ol Frury rhr I D liacd u.d.r Fovirm of CtS6 9 (ffilr dh S.dirn 7ff101 ol Oririr !
<br />or fi. BuiBgud Poftt iouCo&..dny[c.*nbtuItrrn.ftcl
<br />r-**-*"- r-]tO s aN L1(E+llJgJ(
<br />CAIIIBI]CUqNIIBIIIC.ACIBCI
<br />I h.Elry lrfm undr p.dlr, of Fn{ry rnd rh6. ir . o,rrrudbn kndirt .8tr, tu rh. Ffollffi. of rlE turk t\r *ttih rhn Fhr i
<br />i(o.d {Sc. 1097. Civ C )
<br />l?Pl rcr\lr DfcI {l^Troll
<br />I Hry.frn u.n r FDhy oI rirrry om of l|l ftllo*'r't .L.Lra,N'
<br />D.mllri.n P.mns^r6.rro. Noli,i.lrior I.df,l i.g!bti. (1'I!. ao. P.n5)
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<br />R.quiEd Ldl6 olttnfidm
<br />_l .cnrry rhn ft. f.d.rl Eslhhd Esrdry erlrr.r r.mhl !E mr q,pl..bk ro rht ,'oF.r
<br />_l qrry drd I h.E E d du +dadirn rd r* r0rltoE nrMldt]r .od $4. t,n nt.t !o tol.l'ia cqtuDll rd hdr$, <Ent.[.E rEn.i.d r.Drdrr ft. rnalb" rED(i, -x:%ir .d!.1 I {r- ro 6!qly rth .ll Cay .d Cdmy
<br />ltldriq of rb Cay .i Co5ry !o dr6 $on tt_,.- Y-0,\(
<br />UNDER GROUND
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />R ough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn rinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rou gh Plumbing
<br />Final Gas Test
<br />Meter Release I I
<br />FINAL tl7hlv tr m,&l^v4./
<br />Notes Remarks Etc.
<br />PLUMBING-INSPECTOR RECORD
<br />_l tft tld till tui .h *utd oEF-lon i-rrr.. - Equd b, Scrir !?OO otdE l,[or Cod.. 6r dr Fft.llrEolur 6ltt -lxh !}. F\n . d&d ll:dra oEFdbtr uM 6c tn Fl.y rEt- E.*" 91.-\t 'kvt
<br />--*
<br />land6 . Add6' _
<br />Waste & Vent
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