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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDIR DELCARA ION <br />l hcrcby drlrm undcr pcMlly oI p€rju!) rhd I on.x.nfl 6dn rlr (onr.ck s l-iccnsc l-aN fo, rhc finl \irr!r.atn(i(rurl5 <br />t]'6in6s and Pordsion Codci An, Ciry or County \hich r.qrir6 fl psnril ro coNlrud- nlr(, nn0o\c. d.ndish .r '$ an) <br />srndur., priorro its issuanc.,al$rcquiBlheapplicanllorsuchpemihnle{silnnsaEh.nr rhal neotshc is lics\Rl ,u6ua.t <br />ro rhe Forisios of thc Conra.Mt Li.c,scd La\r (chaprd 9. ( onnEncin8 \virl Sccron 7(xl0 !l Dn isi I ol thc lnrins .nd <br />Pmr6si6nscod.)orrhdhcorsh.isci.rlpilhcrcllomandrlr66isrorlheallcsctl.r. rtriotr Aiy viohlbnolSatiotr 70.11.5 byo.y <br />.ptlic0 for a pd.rn suhj(ts lh. applicanrlo..ivilpcnahyornolmorcrlhnfil.llundr.ddolltrs(S50lr) <br />t. d osncr ol the propenr. or my cnll,oys \!irh \v.86 rs rlrt $lc compdsal tun. Nill dn nt \rort tu rhc uclueisnol <br />into ql or orer.ll rirslclse.7044. BNins.trd PnlsstunsCode 1he (inrrAlrr!'s Li.ense t-.u doBnol applyromotrn(ol <br />ine prolqly \rh. tn'ilrs or ihp(N6 rhdsn, md rvho dod srh \tl{ hnns.lforh.6elforrkourh his or hd o\$ enrploy.'ls. <br />po ild thar such iDp.ovowrs e Nr i.r.nd.d dr olIotn ror sl. lf. M\e66. rh. hiildiu or iq,nn .nen a nnd $i ri. onc )4 <br />olmnDl.lion. rhc (\'n6 lruildd \sill haE lh. trrd6 of rrorias lhar hc ot sh. did frn bdkl or nnlyo\ c rhc Frrny ror rhc tiu4s* of <br />!G tl ro o" nr o t rtrc pr.pary, dn c\ ( lun\ clJ conr racr <br />'ns <br />$irh licd{d c.ntturou o .o.$rrcr rhc poicl (s$ 7(!4. Btrsil.s, <br />,nJhohsionCod.'l'h.Conria.rorsLi..trscLi{do6norapDl}k,snosnsolrror.'l!1rn(buiUsornnprolesllacon.,nd uho.ont6.ctorsuchprojc.lsrlnhaContracio(s)licqstdpuBtrdrhtlE(ot0clorsl.icctrscli\). <br />I m .r6d unda Sdhn L -lodr..to l.IblzolL o"."., <br />tl)IlL tlulal <br />I h6cby .mrm und6 p..!ly oaFjory on. of lh. aollowinB delastioff: <br />-l <br />hlE ed will @i.i.b . CqdfE.t of Col$t 1o sdfisurc for wrl6' 6Epddio& a FD$d.d for by sdlioi 1700 of ft. <br />tdor codc fd th. pdfollMcc of thc mtt for qhicn Ur. Fi.il i! i$u.d. <br />-l ha!. ed will maiorai. work6 conp.malion iNUBnca s rcquil.d by Sdlion 3?00 of rh. t{bor Cod.. lor lhc !6firmec. of <br />rh. work ao. which thi! p@il is is.d. My worl6 cohFaarion imomc. can r ud lolicy nunbr uc: <br />$r -niry tm . rt t{.runnarce ol lh. $or ! fo. $hich lhis pqnrir t isn'.!,lsli.llnor.ntlov rny pcFon in ao! 'n!n er <br />F skr becornc srbj(r ro lh. \ro'r* conrtosrion la$s of( alia.r'i., and aSrcclhd ilI should h.cotu subi{r ro <br />'hc\orksl co'.p.{slion provisr( nrsd i('n .r 700 ollhc l-,Irtr (i\li I shall. fonh\ilh con,nl} \irh rhos.pnNGi.ff <br />WARNINC: F.iluE ro Gur. sork6' codr.Glrio. .ov@s. i! oiblvaul. rnd sh,ll subjdl an flployq lo oninll p.iEhis Md <br />civil lins up ro on hundrcd lhoMid dollm ($100.000). ii lddili.n b rn. cosl ofcomp.N.tion. dadasd a rrorided for lh. <br />Scrli,nr rrr?L otrhc t.ittn (od.. inrftsr <br />,,.,.,. i 0/zulzolt <br />UE(].ABAI]qI <br />I hrcby amnnundcr rqnlry o i peiury rhat I tun li..n*n undd pir\ision ol( h.rls I ($nnnorinr \irh sdion 70lr(r) !l l)irision I <br />ol the D$ir6sand l\ofNnrns Code, toid 'ny <br />lircrse is in rulln ..tu cilNr <br />Lic.M Cta$:-Lic.N. Nuntd: <br />Drt.: Contmclo.: <br />AtttlcaNfDEcraa4ua! <br />I haEl, atrnn und6 !..trlly ot psjury on. oalht lollowitrB ddlratio 3: <br />ttinolirion P6nn$Asb6ro! Norific,lion F.d6dl Rclulalions ( I nL 40. Pan6) <br />R.quircd ldr.r of Nolifralion <br />-lc6l,lyrhat <br />lh€ l.dorlr.uLlal'o Ecd J'ns ab6ros r.hu\ 01 n' e rot aml'(ablc ro rhr r('jccl <br />6,-,,r,nr,,*'.,.0,nb apphcarion mdsrdt.rhd th.ablc inrom.rion is coFar I a!x6 ro comrl, q nh all c t. .nd(ou y <br />odinMe ed $ar. L.s! Ehiry ro hiildiig codrudior ad t6.b,r.pr6o ati\'6 olrhB Ciry..d ('otrnrylo 6t6 upon tnc <br />abovc m.ntioncd Forcrry aor iapdtion <br />(Appllc!nl or AEenl SlgnrluRl <br />K <br />lol2u <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P-trap/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 />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release I <br />FINAL v/7o/t7 I -&4 t) +4xc+ *€ <br />Notes, Remarks, Etc. <br />-t <br />Area/Storm Drain <br />CONIAIJCIIOXIENDIM.AGEIS} <br />I hcby amm undd poElly o fpdjur, $al fi@ i! aororo.lion Lnding ago.y tor llt psfodatuc otlhc*orl{ lor shicfi ihir Fmn i! <br />is.d (Sa. 1097. Civ. C ). <br />l!od6 s Nm.. <br />T