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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnt erceptor/ Clarif ier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipino <br />Roof Drain <br />Tubi 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 z,hilt4 <br />Notes Remarks Etc <br />-+ <br />()lYNI.lR al)lLDFiR D*:l,CAltrt f ltrfi <br />I hreht nnmtr o Enrh!,'l p(Utrr!_ rrut I trrc(c[t!fi,tnrh:(idl'(hr'Iic.n\cl-rurarrhcnnk,*ih8trlr(S..']o1l5 <br />lluvn.\\ rnd Prtn.*i{,n Oxlc) Any Cily or C,rutrry s[ih roqutr.\ r F'ntri k, .odnn,.r. .lrcr. i$t()!c. dctrnli\h or rcrrimv <br />{tu.ntr.. I[orn) \ n\ur ... Jl\o rcqutc\ rh! {llfrir r,t \!rh Nnrirr, lllc r nSNd lrrcrNnr lhar for.t i\ licdn\.(l l[^uanr <br />lo thc rroli\iotrr .l r1r ( otrlrr.l,tr r Liccn\cn lrs (Ch plcr 9. Connncn.ing q ih Srdnnr 7(Xl) ol !)lrrtrnr :1 nt rhc llttirr.!\ in,i- <br />rpfl'utrr nn rrL"n \!h|(h rh. rtrll'uirt) nririlpcfrlr!ot ornincrhri lir. hun,lrGld lhr\r1t(xrr <br />- <br />l. as owrcr ol rhc nn,Irdy. (tr my cmpk)trc\ r'irh e rC.\ ns rhct v'L .o rr.nerion. *ill do rlr work ,ri rlE {NuE N ml <br />inrcnJcJ orolLrd ti)r elc l56.- 7(ltl. Busircs\ smt ProL$n,nr CGlc 1'h. Conkr.tor's l-kctrsc ljw dms not.pt'lyr,, !n oqncr of <br />rh. pru!.ny wl$ hoildrn nwmr$ rh.trn.. oftl$h. dNs \u.h rr)'t hnnsclfrr hcrcllor rhmulh hh or hcrof,n cmti)$cr, <br />!n,!id.d rhrr \kh inrlroknrhrr aE nor inr. ]Gd or oficr.d ri,r ek lr, h,sc!rr. th h{rtlr3 or in{r r.rrc.r i! $klwirhin om FJr <br />ol .onlp[rbn, rtr Owncr Builld *ill h!\t rlr hr&n or Frvin8 lhnr hr or xhc d fr{ buiU.r irllrcE rhc tmFny f(n ttt puqns or <br />rfd *tu roit&r\rin{rhtrfr..(tr hn(i ',([nr\] nco\ctl tu{rtr!r,rhc(ir rr.kn\l'..trk1rtr) <br />lrnr.krnDr u rid S(rr .ll &t'('r,rrhr\'(xnrn <br />lhre Osner <br />IOIf,EXI.TIIIIPINSAIIO! <br />PECIJSAI TN <br />I hcEhy .mm !rdc, rEulty of pcriury orc of rhc follo} hi &<lsnr'on.: <br />-l <br />hrvc arnwill nrinr.in!Ccnifrca!.otCon*nr ros.ltln\uE lo slrkda d,np.nr nr.. trs pmvidcd lorhrSccrhn ]Tmolrhc <br />l,hor ('dc, for <br />'h. Frforu..c oI lhe rod lor shi.h llx pcrnril i! nskl <br />-l <br />hl$.ndwil! minlain rort6 on{En*rion insurlB.. !s h\ srLltrt, rlrir!,l jlL. l.'htr (-"11r. f , rh. l{'l,nn,, n( I'l <br />rlr^ jf r \ sk(l NJ!u,rk.'\insurane crrtr .tn Fli(y nudb.r oc <br />-l <br />ccnify rhlt in rlE Dcrr.rmK ofrnc work nr *ttn rhn p.imi h nnEd. I \hall nor cf,proy <br />!,r\krEL.om{ihr..rt!rhcsorkr^onI{tr\rri,rh\\olCrlintr.ritrsrrerhrr'fl\h)ul(lh(.ror:{i$r..(k'rlr <br />$orl.^..,trr\rrrn,I^rnr)n\rlsrrri(hl?lx)olrh.lrlitr(',xlc.l\l ll.l,i!h\(h.onlflytrdhrh)i.t'n,!i\i,,\ <br />ulH7juflr',xril:r',dolLr6 rsltx) rl(xri in rddir irn, dlmscs ss pmvidcd tor ln <br />I h.,.hy olltmunilcr pcnllry ol F.rNry rhsl I In liNnql uDdcr Imlnion ol( htrtr.r 9l.otrmkin8 wnh S.crhn 7(xX, ol l)ivthn.r <br />oI lhc Busircs lnd tlnfcsions C.de. arn my liccnsc t in rull ntre ad cff.cr <br />I <br />lllNrx]J.uau,Illlalltitx(I <br />I h.r.$y rlrir uadcr F liyolpcrJuryrhir rhcrc tr.on(tucion Lndingrscn.y tur rh. rcrli)rnmrcc ol r hc *n lor *hich rhi\ Fflni i! <br />nrucd rScc.:ll197. Civ C L <br />AIIIIIA TI}IiIIABAIIIIN <br />I lan{'y rflinnundcr I(n!li, ot r(rjury oN ol rhc n,ll',{nrg da.'hrrii('n\: <br />l)cnrl tn! Pcnni\ Ashcnol Nolitl$rrrn ledex'l Rqulali,rn\ Irnh {). Prn6) <br />R.{lutud lrn.r of Norifi .din <br />,<\.-,","., " <br />W*r*:*t <br />LdchlrcSuhrions rc8lrdin8 {stEnos rcR,vil aE nor rntli.lhL ro lhis rorcrt <br />,.r,lrhnrntl!rrktr,.nl{rrrrh, rh.)htr. nnfl rrr,tr.,D..r lrE'ek,.rtrrtnvtr[hrll('irvrnrl(indv <br />ltr,rc frninnrd pn)t ny f,tr i'trpcdi,,n <br />ApDlirs or A*e,l sknilum: <br />o.r!rn. rnd h.Ehy lurhoriz. r.E.cntulius oflhn C '-.r[rl;; <br />I <br />L.ndcis Ad&E*. <br />- <br />9 rEq "*