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APPROVALS DATE rD/sLG.COMMENTS <br />UNDER GROUND /...\ <br />Waste & Vent )-zt-11 hv{-r0) <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 Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P{raplDrain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />/\. <br />Rough Plumbing 1-"1._t\y1)-t14\ <br />Final Gas Test )-rl*lq \"u+4) <br />Meter Release U )FXE <br />Notes Remarks Etc <br />FINAL <br />OlvNf,T IUILDf,t' DET'ARATT'N <br />I hats, .rlm !id.. F.iy of Ftry dr I m a.ri toh tlr Cdr..dm Li!! l- &. {E t lbr4 dltr (Sd.?011., <br />Btlll!6 rn Ptuftr.iD C.id.): Ary Cny or C@ny .,n.n !t!!E . Fli !o cEnkt .t6, trrr.Dt dmldr EF. oy <br />r^{lw, nffilo i. i{J.E. &o cqqiB dE +plill tr @t FDn to fik. iif'.d neEr lltrlEortEilir*d F,ud <br />ro rlt rFlnbM .f tlE Colxcl( ! LiG.iFd Lr{ (Clu n 9. CominS witt S..ibn 7000 of Divnhn , .f lh ANitB lnd <br />Pmf.(iod Cod.) orrhd lE ddr i! qctt{ rlEEtomud llE Ltii &r ilEdl.r.d d.wir Any vhhlion ol S.dEn ?OJ I t6yuy <br />.pplid fG. FmiI nbirlr lh +rtstr lo . civil r.r!y olml mE lhu nv. llu,'dEd dolle (ltool <br />_1, d .'rE of rlr FlFry. d trlt.n?lordi onn Eld & dE nL @aFCd.^ n[& dr Et rn dr rtE&. rt <br />inli.d d oErt{ 6r rL (Sa,Oaa. aul6 ri PmtaD C.dG'Th. Cdr.|.td r Ii* l, dr.t d ely '. eorE of <br />EF+dry rlh hitl a il$.oE dEldun rlD dG.dt $.t iirxlla i6.ll6, {tod ha. d na lM..pttFq <br />FovrLd rh.l.et iDrcGGu G bl rtai!.d dolH nr d. l( lwE, lll hdd4 n irpG(rd.nld r'rlirc yq <br />ot@rqtlcFr! iEOwE &iEa wi[ lnE tlr h*kn of pmt| r ltdtEdn tbl hild r orFsE ilx FtEr,6.tl! F FEof <br />l. u.wE.f .lE Drq.ry. h dcbndy frrrrxils *nh lim.d @drd.6 <br />'o <br />6drud llr FDirl lsd 70+1. Bq{B <br />rd &slercod. Tlr Co'*ftld r LE.* L.' dE mt {'llylo borc6f Ft .nywlE t{itd..r trrroB s6r <br />.,!d *ls d,rrd. ij. qdr pFr..fi rih . corurddn klEJ Ftu b rlr Connrrdi Lffi L.tl <br />-l <br />m .rmfl ui&r Sctr.-. B & P C 6r rh6 r.ffi <br />Dtr. (rr..r <br />t br.diill nid.n.Cdrif.dcorcd!.d r. Sdfl'c b$t6t dlp rlir\. lotidd &. trsr.ro rr(Il of t <br />L&. Co<L t rh. Fft.ffi of rt. Bt b 6i5 r!. Fna . i-'.d <br />_l hnv. .nd wrll miMin mrl6 sr|l.6trn rN6N.. 6 Equr.d hy SdrFn !7m of E tnn t Co&. ftr rlE lniffi dt <br />rh. work ttrwhEhrhf ,E md ! FrEi Mylrytd kr rnunrc. urkr n Fno numhd ir. <br />-l <br />.itrty rhr i. dE F&mN of E m,L whEt rh{ ,.r u !srd- I irll r, qqt'y ey Fn. '. my trW <br />i s ro toiE rbF io IIE r*d' orT.r'.rih ltn 6f C.l'5.n& !d {E - rll lnoL, h.od rbi.l b tl! <br />turt6 otrF.r-rbn p'lvirD ofi..rion lr00 ot 0r l-.b, C.d.. I irll tlnlvnh 6nply enh rb. rbuin <br />cnrl nE W !6 sN huidEd rhou(d rto <br />Scr$. ,016 ofrlE Ldq C.de 'Il.rr ,i <br />ll.N (slfil,unl. rn &firDn r. rlE.on otco <br />I h.r.l'y .mm un kr lcflty o f frrrry rha I d linr.d uids lrrqr.n .f clu|{d 9 (offiiu sfi Sclin 7000) ot Disirion l <br />of rlE Bu.Es i.d PDfdio.i Cod.. !d ny lic.M n h 6I hr d,rd .lTdr <br />coltlf,rclIllllJBDac-A(it!.ct <br />I h.Ehy olttfl und.r ll.olryoIFrJuryrhd rhd. (. uo..o.rrm kdm8.8.Ey litr rh. n rnrmm. otrh. *o h,whchrhnFmi F <br />h$dts4 l0e7.crv c.) <br />AIIIJCAXLITGII8AITOB <br />I hsrat.d'ah ud.r tE|[y of F,l.y oE of rlE blbwin, .lchrd iod <br />D.mlirio. Pmir&A.b..roi Noifr bn l.ddl Rqrhiod ffnl. a0. Prn6, <br />-l.qur.d <br />L.tldof Ndi6ori{ <br />_l cdlrfy rhr dE f.d6.l EruLlm .yrdj,r .d'cr.. lmrl & d ,ol'oi!k l. ll! ,ftF <br />-l <br />.?rit rlll I lrE Ed rli .gplErhn rd d!r. $d rlr .lhE 'ntn:i{ ir qrE r I {r b sxrply ,nh tll Ci, .d Coury <br />odmE6 !d sr.r. t!€ EHlr ro hild dlnlbE rqrtsrrB of rh,r Cny .!d C.u$ ro drd ur.n E <br />.hov. ml.omn pn,ncny lor <br />q+/5, )' <br />EEII]EI'&] <br />PLUMBING.INSPECTOR RECORD <br />!!8lt!ES:CAUf!dIAIl0!llcldSalE! <br />I l*..ht ,ffm ond.r FElry ol Fryry c of'lE 6llordy .L.hd6E: <br />-";Yf//2- <br />,*rr--Z--"38//u <br />trtd..'. A.trtBl <br />4.2 <br />Gas Service