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<br />AIIIJCAII-DECIAXAIIoA
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<br />.ho( Idi..!d rrcFn, tt 7---,Appn..nl or Atdl Sltnr &"? T//n--, >
<br />;T;G"
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain 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 u tl.rQ @wn lA--
<br />Final Gas Test
<br />FINAL
<br />Notes, Remarks, Etc.
<br />PLUMBING-INSPECTOR RECORD
<br />t/
<br />.,,,* z/tt/zo
<br />Meter Release
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