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PLUMBING-INSPECTOR RECORD
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<br />APPROVALS DATE ID/SIG.COMMENTS Owr6-AuiEn D..htdim
<br />I hcoby rfiirn undr p6dty of p6j!ry ltlt I cn crsnB f(rlr $c Cdt r.ion' Licar. Lle for th. fotlryini latd! h.c.703 I 5 Buritat
<br />sd ltofsio. Co&): Any Ory 6 C@ry ?hich Equir. r Pdiri o s.te! drs. ilp.ovc iLtDlth n rcp.ir uv ttuat .' P'id lo itt
<br />it!@c., dro ,!qul.c U. .ppli{t ld N.h p@it to fi|. r ri8n.d !t t4 tt r t!. d tltc i' Iico..d Psot l,o d!. ,roviiiont of oc
<br />Coiterr'! Lic@rd Lrw (Clupra 9. Cffidclit qilh S*tio ?ooo of Dhi.i6 I ol thc Bui.di ud Prcf6li@ Codc) or lh hGd
<br />.h. n dalPl $dftm &d it. bsi, fG thc .ll.s.d qdli6 .Any violttio or S*tion 703 L5 by ey .ppliwt ld r p.frir lubjlct th.
<br />!r'pli6r lo r civil F.rlry of no( nor tho frvG h6&!d dttllar (3500).
<br />-I,
<br />s M6 ot $. FlFty, 6 ny nployB ,i6 *.aa { th.ir rol. cmFd.ri6, will .lo th. vort ed tho tE!.ne il not inL.&d
<br />d o6*!d fd 3.lc ( Se.7olt4, Buire od Pbfaitu Codq Tho Csn .rd'. Li@. Ltt &q .ol lprly b E oma of $. Pr.F tv
<br />who buil& 6 inFov6 thd6, edrio dod ten m* hislt lf 6 hcrr.lf d thrcust iit a hd Nn .6doy.6, F@idod lt.r Mh
<br />inFov@66 (! nr,t intart d 6 ofi.r.d fd ..1. l( hqcv.r, lh. buitdin! s in rcvqMr it .old within 6. yry of cmddfl rt.
<br />Omd-Build6 pill h.v. $. buda of prcvin8 $rt n. or th. no! build o imtDv. ror th. Pltpo.G ot 3!k)
<br />_1, d oM6 of lh. p6pcny, m dduiv.ly @trtreuu *itn licer.d 6s&!od !o @ttucl th. Pbier ( Sa 7044, EuinEl Ed
<br />Profc$ion C.d.: Th. cerrr.rd! Li@. Lry do.3 not .ppl, to M omd of F!!.ty *ho buil& or ihPtoc $GlM , ed who
<br />@E .t! fd r@h eroj&tr wirh . Cor&to(, licd.d puGuut to tt. conn&ror't Lic.nt. Ltw.).
<br />I 6 dmd udd serd .B & P.c. fq thir do
<br />. gqBrEEsla!4rNlara!..DlcldEauaN
<br />I hdcby .flim urdd pr:dry ofpojur/ oi. of $. follwiir d.cldstionsl
<br />-l
<br />hts dd willnsnicii r C.rti6cd. of CoEal !o S.lf-Ir rc for*did co P.llnion, u Plovidcd fdb, S.nioi l?00 ol$c
<br />L.!d cod!, aorth. pdfdrme of lhc 'ct fo. *hich lh. pmn it btEtt
<br />_l hrv. od will Bi rin *dt6i cdt .u!i6 iNtue, s aquird by S*1ion 3?00 of lh. Lrbo Cod., for $. F..fom@ of tn.
<br />wk for phich thh pmn it ilsuqn. My *orl(ar' coftPcntt io iNlmc6 canl6 rid policy nmb.r r?:
<br />(n r lccrih n.!d nor b. cmpldd if fi. pmn E fd Or. h6.b.d .tolls {t I oo) q
<br />71cmry lh.r itr
<br />'h.
<br />p<t@ec of lh. wo* for whrct dit paht k isu.4 I !h.ll
<br />6..!msb*rto$.w*r.r, odparto lMof C.lir6irDd.rIcUrif I!h
<br />.mp. llid prcri@ or of lh. Llba Co.L, I rldl, f*thwith
<br />trdr.d rhouod <blt6 (tl oo,ooo).in iddirid to 6. 6t of c@F?',rtm. dd.id s Ptovidld tq th. sdli6 ,0?6 of
<br />$. l$o Cod., inr@r Md rnm., ! fG
<br />trcDNsf, n comR^croRs DECL{RAIION
<br />I hdb, afim udq p@.lty of pdjur, fi.t I m li6*d u.d.r Pmvilio or chafla e (cffiacina wi
<br />rh. Bain6 ed PrcfdiN Cod., md tny lic.t& i! in n l fgE ed .rd.
<br />of $. work forwhich fiis p.miin
<br />isu.d(S.c 109?,Civ C.)
<br />AIII.ICAII5.DICId8AIIAN
<br />DdoUtior P6ndE-Arb€lq! Nodficallm l.d6.l Rq$rldon (Tlr. 40. Pst O
<br />_ RcquiGd Lrrr{r ofNotifiqliort
<br />tqt'f.d
<br />//*o^n
<br />lh. f.d..d r.8!l!rion, r.larding ab6to r.mov.l @
<br />b cmpry wnh dl City ud coui9
<br />or.lins.a Md Siar. llv3
<br />sbov.mati6.<lpmp.iy fot i pend p!.?66
<br />UNOER GROUND
<br />Waste & Vent
<br />Water-Underl'loor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing Frr,l.lll \ P!\
<br />L,\llr
<br />Meter Release rtrD Lnlq
<br />FINAL SAMC 8-43, 2 ,0,550, tib /
<br />Notes, Remarks, Etc.
<br />Final Gas Test
<br />lolicy Nubci Erpir!:
<br />tad(l A(El.i
<br />-T--t
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