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APPROVALS DATE ID/SIG.COMMENTS olvtEl itrtLDE t Elrc^tarmN <br />I hd.r'y lrm ui&r Fily o, F./ry {: I 6 .r.ner tu6 dE Comd6 lJru Ls t'r llE trltslra l!&n (Sd r0l! , <br />B6i!B d Pots. c.d.l' Ary Cr, or cary *t.h Eq!-6 . Fm. lo 6ri^Et. .h6. qimrq .lahlirt or EF, 6y <br />nN€e, Fsio n! Erc, lto E+iE llr tdtd tu.drFmn h nkrnsxd ri.rEr lltrLdrlE!lm:d Fl,la <br />lo rlt Flhhd of tt Co Btd! !ic.n.d t s (Cfufld 9. Conmahi rrh S<ti,n 70fi, of Drvtirn ] ol llE Burin.n rnd <br />Pmf.nio.i C.dq or rhd ,E tr dr i .&npl rlrEfmm !d 0E t rir t, 0E ill.t.n q.trpli.n. Any lbhlhn ol S€li.n 701 I t by .oy <br />.fi i.! for !,,.rmn Nblrcrr rl* lnplklnr ti,..i!'lp.dhyofml mr rhd fir. tundrd dbllrd llJm, <br />-1. <br />r ffi.frL FrFry. d rt.trpbJd r.h rud f, rLt -L crp.r.rm\ wil & tt rrrt lrd dr rnEc ! rEl <br />d6i.d o olL,.d &r .l (Sc 7!aa, BuiE -d Prtrd. C.dc llE Cdrr.tdl LEdE lr.bd @l rely ro i ffi ot <br />or.F,Fty rlD lBill (.B6EdEdr d rlb.ld.drEt ni*rd k lf6lnorarth.dlFo6.@bF.1 <br />Frvtd.d ftt rdr lvo@rr! c d nqd.d colBld tr.t lt bffi.ltr hitdir 6 i,sffi-r i.ld *tlinc rc.forddir! rli o',c Eo&k ,O hE IE htui 6fFnDi{ di lE d tE dd ai tu! d i4.iE tu FlFly tr tlE FlIc of <br />_1, d owr of rlE DrsFnx m d.lB'v.ly coddot wdh li..trrd odffroa t. m^rrru.r rh. rFJ..r (Sc 71x4, Bai6 <br />.rd +rDkin Co& 'l lE Co.kErd r L'c.nF l,* d6 d,r q,||lt ro u o*d 6f ,'mFny wt iurldr.r iham6lhd@r <br />.id wlF odrtlr ld (t rmF.rr w'rh . Coffio(r, l..m.d F,str h rll Cdrrcrd r Lite Lr*) <br />_l 6 .r6q{ und.r Sd r <br />lrrr. ()rn.r <br />rr()R\r (s.ti,rffns^ r l()r <br />l)rgLaBAltl)! <br />I lkr.hv rnnn un,l.r [x"nrlr\ oItquryon. olrhc tu ll,r*,ry ,l(hr.hrri <br />-l <br />h.c td rill diddr. C€rifqr.of C(tGr b sdclre bi v,nrro q,Frdioi. - F{il.d &r l's-rin !7m of dE <br />Lrta_Co.k tr llt FinlE of it. Et h. 6'.lr d! Fnn . -.d <br />4/* - ru, -'r.- *a 6q.r-ih rE. Eqtid !, s.s6 !7m ot rt hor c..t, tr tb F&.tft or <br />dE r6rt 6r din ra Fln i i-..t My wt'r @tdr intlE dE d Fol,.y tldq G <br />"4*are-,e.b <br />_l..nify tllr n 0r F t 'lta ot'h. m.t tr rhah rht Fd i! irr.d, I rllll br dr?lt, dy Fdln o my ,ll.lF <br />- a b h.or rlFr !o rl' wlGi .q$di.br LB orcditmr rn r8c Oa f I iDdd bcift nbr..r b d. <br />srlEi cnp.r-rir FDEia of -r,erbn lr@of rlE llb.r Cdq I irll lmlrih @!Fly rrh t,D- F.shn <br />WARN|NG f.'tuE o ise rrrrm' GrtEdbn d'E+! n unhrtul. .d rh.ll sbFl .n criloF lo otMl F,nls t n <br />cMl fi6 u! ro.tr h[dBd r,busnd rlollsr (slm,ooo). in,.ldis. tr ih. sn of otr{EMlroc .Lmtri .. pbrd.d fr" rh. <br />ta <br />u($rtlx!:r-8"l!-r2alrl,(Ll[.u&) <br />I Hryrfm u'n r Frly of Frry tL l s lit6.d uiL FBih of CLFG a (6ffii,t rrh S.6M ,tm, of DM.n, <br />of dr BriF tlil PDC-(E Cod., !n oy l.!E ! ! nlll trE rd .l*.r <br />)?zfoA <br />co!5lf,lcro!.rrluanAcrlct <br />I h.trty.lTmu,it.r FolyolFrry r tfr !.@druce b.dry.rEy br llr F6.lrfE otdr Et 6. thiS thi,Eni r <br />m,.d (s6. 100r. cN c ). <br />AIIIJCAII-DECIAXAIIoA <br />I ha*y.&n utd.. Fdlhy of !6iry or olrtr t nio, &.hr.ri6 <br />D.mhb. Pmd'Atl'.ro f,lorfsrim [.d...1 R.tuLrm firk,O. P,r6, <br />-R.qu!t{ <br />Ldta of ta'6..m <br />-l <br />cdlary lhi dE Hdrl Egul'!!i,B ESrdrnr .d'.sor ltmhl .c mr {r t.bL lo thit pF;d. <br />-lc6ri&rndIllE..drhn+dirrion.n,r.rh.r0r.lnv.inforntb.!.oGcr.I.8tarootrpl,,hrICny.idCoorr,.nl,'$r.rrfr! \rir.l is\rtlnr'n8 r, hu'ldm! n{b^ in h(tby dlhrE EF*rrd6 of thr CIy <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