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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUNO
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarilier
<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 />Rough Plumbing
<br />Final Gas Test
<br />Meter Release I
<br />FINAL it lt8 dasl-
<br />Notes, Remarks, Etc.
<br />OWNIiR BT'II,DER I'Iit,CARATION
<br />I lrichy .fitn u'n r Folr v ()t F,rrr, lnrr I m .r.q, fnrm ',t C.ddoh Liur Lot lor llt foll,$iry E.!,n ( sc ?0.t r 5
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<br />irel(c. Fi, b n\ ni!!N,rk rcquiB rlE +pli.!nr ft rkh rffii k' fiL. riS*rl (.lftnl rhll lro, \rE 6li(ntd |)ur$8'l
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<br />Pmri$hm Ccle) or rh.r lE or rlr n.r.qrr rlEcfr.n.Id r,E t8n fo. rlr llb8d.rcmprirn Any riolilhn ol Scri'n 1r.l I 5 hy riy
<br />amncur (r aF mir subFk rh. +Ili(.nrro.cir'lFdhyorn m( rhr. riv. hu'nrJ doll!'r ( Sl{D,
<br />-1.
<br />a orE of thc FlF,lr. a n, c.ptrFr riri ?.!B a lh.i -l @ipddi''l rl[ .b 0E Et rn ft inEE i. t!.
<br />tlaicd G di@d 16 .]. (Sc.?o14. 8uiE. Dd ?roGsbr cod.: Tl* Gfr-rdr LiEE Lrr &.r Dl +rly lo u orE oa
<br />tlr Ft'Fr, rlb bili d nrFDE tlE6n. d do d6 ]d Et ticf 6 i*lt d ir@a] h! q IE ori.!proF.l
<br />pmviLd rh.r.Eh U4ioGrdr c d iG*d doltEd nx cl' lf. hotE dE toilb d hgMEn i rld ru&c rrofsrplil,( th. o',E Bdlb lil bE dE hltb of,.olit ln. lE ( dE did d hnE q itrpoE 0E FDFry lor tE Fnpo. oa
<br />l, ar orF or
<br />'rE Frny, m cr.hlriEly dflMan! *rh ltfl.n odr1oF ro mnnru.r {E F.ilr (5s 7{x4, a$tr$
<br />ldl h!6iiir Cd.: Tlt Conrct(\ l,k.n* kw d6 m .ptlyro r0*6 o(,mtEn, *l$ tril.t.or mFroE. rh.rNn.
<br />.nd erh 6ddr r.r rkh tfrFlr {nh r Co ddr,lisBn pu urr lo rlr C.ir,-bir tj.n{ trwl
<br />-l
<br />!n.(.nrr lBlci Sdti,n-_. l, (t P( lnrlhi\rclw,n
<br />l)erc Owr
<br />ltaxli}:8s-l]]}llliliralrrN
<br />IIII;IAf,ATI)J
<br />I rr,ch) rrltrnr u.'lLr Fnrll,-.r prrjury rh- or lh. r,,ll,uirp nc.hrur0nr
<br />I hr\r d *
<br />'
<br />ll minrum ! ( .niarrrc of Conrnl nr Scll ln(!rc ld qork(i d,nwn\ul ion- !r F)!i,cd fr, h, ssiirn l7m or rlE
<br />lillx (-lrla. for rhc Fnnlrm. of !h. rrrt fr* shah rh. Fn h rlEd
<br />_l h.E..d,ill mi.rri. wt6 orp.udbn iffic. B EquiEd by Sarbn l7m of &. t to, @.,lorllE Flolr1Etr of
<br />rlE wt l rnih lnii Fmn I id..t My iat6 orF6dion lffi si, .rn tol-y E,la G:
<br />-l
<br />c.lrly rh.t in rh. FrfornrLr of rlE *or k tur *htt rhi! Frn r i* i\!Nd. I rhrll mr cnfl,y ory pcRrn rn rny matrrr
<br />yr ri t' tr.oft $hF{r k, rlt rritdi 6qrMr{ Lrl of Clhforni( nn 'ar rtd il I fi'uH B*o@ itllf.r tu rlt
<br />Rrk6s.on{xnsriqmvs(nsolSdranl7lxiorrh.IlttrCdc.Itl l. lonh*i'h oq,l, rirh rb9n'virio.r
<br />\f.rkr xr76.rrh.l.'htr(i\1. dr'.irn(1r(tr'rr'\
<br />,.,,5/L / tg
<br />IECIaIATOC
<br />I lFch,.lfm!.dd F !,orrqi&ytld I @teNcd ur& Fvtbnoro'4rd t(ffihr *nhSetbo,ml olDivitin!
<br />o( lll Blrir .d Pt!fr3L6 Codi. rn 6y ErE n b tul loc !i.ffcci.
<br />/tt (r)\\lxtr ll0\ ll \lrl\r, \(.1\( \
<br />I halby dfm ui&r FDl,ofFrj!.y lld ltqt L r d ndbi Lidht 4!4,6t llE F6.tl.c olrE at tu rtLilnL Fni I
<br />hnt d (s-. 1097. civ. cl
<br />AliIqNL0&lllEAIltlr
<br />I halnyfmlidd DC.rXy of lsiay oE olrlE folb*inr rt lr..li8:
<br />Dtmllbn hmil^ib.roi tloriaEdir tit rl R.t!bi'o (Tnl lo. lur6)
<br />-R.gri!d
<br />L.rrs ol tldifi{i.
<br />-l
<br />aniS lh.I lt! fl.Lr.l rluhrlr6 c8.di!lt .$.rrd EmEl c mr q'rli.rll lo lhi. PrDFI.
<br />_l en if,lh, t lw. E d rhir rppli.rrbn .d trl. lh r rlE atiov. irfo. rion i!.on.( I {rc ro otrply,ih.[ Cny (d Counly
<br />dnnlas !d Shr t x rldI!
<br />'o
<br />hildl,! 6'drEti4 .,n llgtbt ol rhr Ci'y ,,n C.urry ro cnrs uF n dE
<br />rlxtrr nf,nriunll |n,n.,rr rrtr
<br />Apglionr or,tn.nr skDtuft i
<br />P.mir6Efttp.intr
<br />E/4s
<br />I
<br />III
<br />s
<br />Back Flow Device
<br />ll I
<br />r I
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