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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS ()wNul al,ll_DDtt DUt.cA'lA'l'loN
<br />I hcrehvdfln und.r nmhy ol n.rjfiy rhat I im {r.mfl lnrm rh. ConnadoF Lir.ni l !s lir rh. lollowms idc!}irt. 70:l I 5.
<br />Runncss ml Prolis('n C .f Any Cr! or Coumy $hr.h rcqur.l r Fnnir ro $nsrru.ri ,lr.i rnrnnJri d.trhlrh ur r$dtr rny
<br />srndurc. [i{Yt, irr *susncc, aho rcqutrcs lh. lpplicad hr such rcm h iler sisn(l (.tcocnl rl[rheorshc is I'en\.d puNx r
<br />to lh. nmvsions olth. Conhctoas t,icens.d hw (Chanr.. q, (i,n,n.M'ns wnll s.crim 7000 .lDivaion I ofrlie lrunn.s ind
<br />P(,f.snonsCoderorllulhc.rsha is erenrl Ih.rcan,n iDd rlrbNk lorrlE lqcd.rcDnri(,n Anyri(n0rionofS(lnn70.]lthyaoy
<br />irnlu ,nr . pemn strtli.cri rh. aml,cd ro Ictrrlrendkyoiml nmr.rlw,l\r hund!€d d.ll..s(s5(x))
<br />_1. .r oMr of rh. pop.ny. or ny .nplor!6 ynh sosd u rhen FL omp.nsdion. will & tlE kt atld rh. 3lndG B d
<br />ir drkd orotr r.d for sL (S(.r044, Bu.in*s ohd Po,.sions Cod.:1h. Conltuclol! Lie@ t w do* 6l .!!ly lo s owm, of
<br />th.rlFny ql. t{ilds or iqaa tlEer dd wtr .k6 $cn m* hins.lf or h.Rl t or ll[oush nis or h.r o*n.mntor(*,
<br />povid.d rfiat Mh imprcwm ! E mt inloi.d orofi.ri<l (,.6L lt ho!!G. rl! buildila or iq,ffinr t eH enhin om Jt{of6npLti.l\ th. Osrr au nr will h.E ih. hnlh.fFbrins ilsr h.6rJE dit bt Lrild 6r urtftE rh. potdy &r tE I'urr.k ol
<br />-1,lsowmroflhe
<br />pmp.ny, am dclBiv.ly comEcrine with lic.Nd colnncroFto oinrud rlE lej*l (Scc 70]l-4. BBfts
<br />trn Polsir Cod. ]'hc Conlretolt Lic.nk Lls do6 ml alrly to s own.r ofrmp.ny sho buil& or ihpmrcB rh.rmc
<br />.nd st6 ontm.r3 lor such Imj..r! wrh . Conrn(o(, li.ds.d puli@t lo rh. Conr6clor'! Lic.tr!. Lrw),
<br />-l
<br />!0.x.mpt und.r Sel B. & P.C lorrhn Ea$n
<br />]laatrfBs:colt&NraraB
<br />IECIA8AIIO!
<br />I h.r.by amrm und.r n.mlty ofpajury om oftli. l.llowine del@rioBl
<br />lhn\rxidsrlln[nrln]acn'ficareorC.ns.nrr.SdllrlnqrcinNork.r'cotr,pctrsaln.xsn'.!d.dlnrhySecrtr ]Tlro.frhe
<br />LalnrC,xtr. fttrrhen..irmxmceofr&qnrl fi, whi.h rlrfern I '( Lsuc(l
<br />_l i.ve .,xi *ill maintain !o*.o 6mn ne.tion in Ba., 6 ,.qun d ty s*r i.n 1700 of rhc ljt'o, c.d., for lh. ndfomm. of
<br />$e oork for vhi.n lhi, p.rmil i3 hN.d My workd mq,.nerirn rN6m. orid nd polty numbe. aE:v*
<br />\*,n,I -12.ol
<br />_l cd'ry th,l in rh. r.rlir.Eec olth.rb* tur *hich thh p.tmit is istu.d, I shall mt.ndoyanyD.Mn in.ny nnnntr
<br />m asroh.6m hjd ro rhr wort.rc m.l,)..*Lion liB.fcalifofria, nod a*rcc rhar 'fI ih.lld b..om. iubjet io rh.
<br />rhd(.rC conp.nslion tmltioN ofsdion 1700 of rh. L,tnr Cod.. I slull, fonhwirh 6rDly *i'h rh.r ,,ovisiotre
<br />wARNlNc lailuE lo Ecu. qorkcF' comn.nmlion ov.mae i* unLwtul. nnd sh.ll sbjel e .mplols lo aimiMl peMri4 and
<br />ciril fincs uI, kr an. hudrcd rholund d.lla* (!,00,000), in dirion ro llE cffr ofconp.nstion, domse, ai pmvidrd lor th.
<br />l0?(r oflhc bbor Codc. inlcrcsl and lomy's fN.l/sqlrq
<br />I hcrb, .U-rrm under pemhy o f Fcrjury th.l I ar lic.nrd und.r vision ofchnp(d q (oD,Encin,. wnh Sarion ?000) of Divisio. l
<br />.f llE Bu,iEs ond Pof*eiotrr Cod., ifll my lic.ai. b in tull Lrc. 8ri .Ifer
<br />-'l r.3l q3
<br />\6.",",".7 \ t t^66t Cansty.x-llin--t
<br />caaglalcualJ.[ltlEclc
<br />I h.tby ,firm udd pemhy of p.Uury ltal tlR ie a ontru.rbn kdh8 ogmy for rh. pdfomDrr oflh. work 6r *hhh rhis ,eflnn k
<br />hsu.d (Sd. 1097, Civ C.)
<br />artucall.lrlclAaauo!
<br />I tEEby snim under D.ndty of p.rjury on offi. followrnB deldni hn.:
<br />D.ml,iioh P.rmns stEnor N.rificatioh f.drrll R.sulalions ( l nl. 40, Pan6)
<br />-Rcqut
<br />d L.llerolNotitic.tsn
<br />I ..nify rhal lhc lid.ol rcslhrioN Gsardins ashdtff r.mul orc mr aDnlicabk lo thh Drcjel
<br />-l
<br />€.nify ll8l I h6v. r€od lhk alplis'ion s.td n!'. thlt rhe .h,vc info.ns'aon is corer. I alN ro oDply wih rll Ciry .nd Couiry
<br />ordiM.c* ond Shrc Lrs Ebi hr to buildinx dfirxl hsrhy ldtxriz. rcrc€nrarir$ ofrhr Ciryrnd Counryro.nr6 rtirn rhc
<br />ahrvc menlnn8d nop.ny l.r sspftlio. pr
<br />I I
<br />t I oY4)
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<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterce ptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pi ping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P{raplDrain Line
<br />Main Drain/Pool Piping
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Ro ugh Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL 7Zr a'NqA
<br />,Elc.- r /-t -Notes Remarks
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<br />UNDER GROUND
<br />Fill Line/Back Flow
<br />L.nd.'! Add,g:
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