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<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipino
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test tu t-b
<br />Rough Water Heater
<br />POOL/SPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />L
<br />Notes Remarks, Etc
<br />OWN'T BUILT'ET Df, ITATATIOII
<br />I hn$y .rm !,rlcr FEhy or rdjur, ftr I s d.,!?l fn6 llE coiltctorr' Liia* L.r t'r E hlt*4 l.mn (s.c mrl.,
<br />Bui6i rn Pmfdi'n C.d.f Ary City or Cmdy whtt rqtid . IEhl lo oidas. .lE, nlpok, daml6h or GF! &y
<br />.r*te. Frlo r. ',lE,.ko lqrc dr Slilr h{ rd!F lo nb.neEd rrsFr lhih.dlEiliE!.d Frun
<br />h 0r FtrviriE of ft C(I,-rdi Licu.d t r (Ct+l6 l. ColEmst rth S.dn nm of Diwhn J oldr B{.i*r ..rd
<br />itoE{stu Cod.) d rhd lr 6 tE t q.!Fl td.t o.rd r,E h.r! 6r d..lkt.i .rdPrih. An, vnLlid of Scrn IBl,lyJuy
<br />.t llci f.r.FmnsbFErlE.p!lic!.lL..ivilp.BtyofmlmErhmrmhun&d.t'lLd(ltm)
<br />-1,
<br />s ffiolrh.FFry.( ny.4Lr)E r.h mtE rlhn sL on9itd.r! willd, rlE wul rdft rn E t t!.
<br />.rd.t d dotu 6..Ltsc 7txa. Bori.d .roE-.rcd. TlEconr*rd r L.fi L-ds '!l ltllybrorE.r'
<br />dE Ffdy rlsh r d iqEE ltEE.!.d,lb dE.st Et h"*lf or hd-lf d ft@tfi hlr d lE M..tlhyq t
<br />,bvit d rn.l en ieiltqrdr E d -rsi.{.r olE(d tr -L lt ltffi. tlE t{'ldrl d rrftvEEr it rld *il&tc r
<br />olorFLri.n rh. owB Buitdq vi! llE lh. h!d.n ofpm{tt dr n n {E dil r'r hiild or itpmE rh. poFry 6)r dE F Fl- of
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<br />E lrrE.f rh. FrEary, n (ktrtirll, qxr,-rns .ih 1.6-d odrxrm kl .ldn d lL loFd (sc t(,.a. &!i6
<br />!d hokrr Cod.: th. Cohldd r Lr.R lrr &6 ml .orly lo u otm ot thFny $lb ho'ld! or E{n$r 'hn6l\.nd wln o.rdi trr tuch Forrtr *nh . Csirtur.(r) ltrtr<d 0Irunl h ll* Co,nrcld r l.r.M l!e).
<br />_l m.r.mfl sd.r Selnn-. B &Pc 6rrhr6$n
<br />D.r. o...r
<br />]llSf,lSl:'saMllllAUtt!
<br />llCIdEATrIl!
<br />I lrEby .mm utd{ IsElry ot pd,try or of r& tullo$or &.hr.lfN'
<br />-lt
<br />E -d ull rlru. C.irf.r. otcd- rb s.lf.l r tuEr6 srFt id\ - Fotd.d 6.trkm r?mordt
<br />L,bq Co&, 6. rh F&.ttre of dr wl ftr stki rlr panr . iEd
<br />t hlvc.nd $rll mnl.in u)rt.ra mn4l.Nd$n rM6B.. .r Equn.d hy st tFt r?m of rtE Lltnr Cd.. ntr llt Ff6lr:1m. of
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<br />cniry dI| r rt! Fftrffi of rlr h,t tr rtrt lhr F@n B iEd I rt ll ,!l a?loy..t pqs e &ylffi
<br />- i lo t@E.t od ro rlt xrtEl6rF-m L* olc.l.6ti.. ri {N tlr ill t$ld lEd -tli.l r. rlt
<br />s.tdi cxFrrih Fo!fiE of s.dirn l70o oltli b[a co.L. I lilL l''llrnlll 6rq y f,ih lh*,66D
<br />bn @v.ns. { unLwtul !'d rldl oh).tt & orpLrlr 10 siI@l Fits &d
<br />cd nH ua ro or lrrH rtDeid &lln (l |fr,.fln). n .rtdnbr @nFdixr .bnrrd I FDYiLd hr UE
<br />sd r{ !176 .l rlr I JrE ( ta.. d.ni lid .ndry
<br />^,,. 7-7-1 -t c/
<br />^**.",K
<br />I h.El'y JrEun& pqrlyofr.rrry (II. t n lE d ur&. FsEn oto!+l6 9lo,lll'E!r,il[ S.dm 7qn) otDrsN !
<br />ol rlE BuiE .tn Pmt*n Co&. .i ny lffi ir i. tull 6c rn dE(r
<br />1*3t?afzt ? 3
<br />1.t:-tq
<br />calluauqua!,![!trlaGicrlcr
<br />I h.r.ty,rhr ud( F.nry o f |Fr,l.y llll llE ir r oDrndDi kn'i! !r.t, hr 'h Fttu ofllrfril tr "tlih rtur Fnr ir
<br />rrdrsd lm7. c'v cr
<br />AfIIICATLTECIAAAIIA!
<br />I hfttry.lhn un&r FEty ol Fflry oE of d! &,borA d..hril.nr
<br />L).mhrrnPam.riArtE .rNdifi.dhnlj.d.6l RqllolFM(Ink40, t.n61
<br />,r.qutr.,l l.rr.rorNor'liL rn
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<br />drt rnl rh. Hol Erlrt 16 ilt .ill,[ .{.ro. ,ffHl R n{ {'alnbk lo lhi. Pmr.r
<br />l.n,l\ rhr llu\( r.i,lrl,a.,l,t ri nn rl trl'. 1l!^. n,litrnr trr'tr(,{c.r l)I'.rr,Lotrrf\$ hJlr r\r l(,i(i\
<br />iffi*H'[,$,Tll#J*tr,tr r h.r.h!itrrlltr'rr (t{.rrrdr.s olrhr ( ii_ i*l( ou.rvr..nrs uririlr
<br />[^rr'n", - ^r-r
<br />tq-,,.n
<br />\.-n*--.,rn",,7 t',(/"-4_
<br />J4'?-q
<br />PLUMBING.INSPECTOR RECORD
<br />Back Flow Device
<br />FINAL
<br />*ut tr strh rhir Ftu! ! 6rd My wlo orFr8rbn tru:rlNffi.lJFl.yrumlEe
<br />'** CbL liYr co
<br />*" ,., Llbt Gzlq1o I /L-t !-t 1
<br />|..'rid s ,\,nt.$
<br />1lz.
<br />/41 a1A
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