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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Buildin Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rou h Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipin
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Water Service
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Meter Release
<br />SAMC 8-43,, 556, 66
<br />FINAL
<br />Notes, Remarks, Etc.
<br />Osd,Buil&r D.ctulid
<br />I h@by !flim uda p6Jty of pqjury rhd t m *6F fm lh. C6r.cdr' Uoou Lw fd 6G toltowinr tao (c.?ol I 5 Buindt
<br />$d Prcfsid Cod.)i Ary Oty d Coury *ni.r! Equi6 . panir b @Brrll r, ,tt!'. imFo$, .tanolkh or r?.ir ay 3tu.trr., prio. ro il!iM@,.liorlguia $.rrplicir frruct panirro 61. t.i9cd rdar tur hc d rtl. ir tic!.$d p{tler rotr! provisioi of rhc
<br />C@oeld'f Li6i.d rtw (Ch!pr.r 9, CoMcins wi$ S.aion ?ooo or Uvilio 3 of dE Buin$s .nd trcfBi$ Codc) or rh.t h. d
<br />!h! h Gx.nrp. $@tm 6d 6e baii for Oc .llcrcd .ianprio .A.y viol.rioo of Serid 703 t.5 by ey rppli.irr f6 . Fmit subjcds rt.
<br />.ppli@r 1o o civil pa.lty of n.. trM $ln 6w hu..lr!d dollG (3500).
<br />_1, B wra of 6. FrD6ty, or nr.nplot6 wfth i!i6 s th.ir rotc cdnFt ti6, *ill.to thc vo od lhc $tu(re is not inradqlr offald fn Elc ( Se.7ora, Duind &d Prcfqi@r C.d!: Ttc Cofi.rdt Lic@. L.* do6 nol lppty lo o oM6 ot rhc prop.ny
<br />*ho huil.b q imFdr tha.or, lltl *h. &.r ech *od. hitnr.tf d hd.tf a UrcuSh hn or hc oe, @ploy6, Fovid.d ltal suchihprov@tr & not inrd&d oroflqld fd salc I( howcvc, tt. buitd't d imrroidnai ir lotd vi$in oi; y;of .mpt.ri6, it.
<br />OM.nBuil&r will h.v. lhc budr, of ptlving trlr hc o. lhe rcr b{ild q imFfl. for lh. pwpqc of salc).
<br />_1, a oua of tt. prcFty. n .xclsiv.ly dredtra wnh licoscd 6rlt.o io qdtrucr rlE !tuj.ct ( S*. ?044. BBincs! &dProf6i6 Cod.i Thc Cotrrd.," Licoe lrq do.i f,o. Oply ro u M6 of FoFty who b$il& d inFov6 tgq . sd rho@t..Lfdla.tFojcl!eith.Cd!rcd.)li.s!.dF .@116rh.CoE dstU@r!rw.).
<br />_l m ?xopr 6dd Sd on
<br />-B.
<br />& p C fd lhi! lt&n
<br />WORXERS COMPENSATTON DDCT,AiATION
<br />I h6.by alfim uid6 p.nslry of Fjur, o. of 0!. folldirg d.ctMionr:
<br />_! h.vc ud sill mirt ii ! Clni,iot ot Cd!6r ro S.l irw fd *dt6' .dpaB.ri@, s !@vidcd f6 by serion 37oo of rh.
<br />Lrbor Cod., f6 0!G pcrfdfuc. ort !c wdt fsqhich r[. rrDit is isd.
<br />_l n.rc od vill tuj .in w6l6' @mFBrIio inlufu.c, B rrquiEd by SEtion 3?oo of ln. Labo Codc, for rh. p.rfomscc ot fi.so ( for whicn lbi. Fnit ir i5rucd M, w6t6' cmp.s.ri6 iNutu@ 6i6 od policy numb.r rc
<br />aein
<br />(Thir s.cri6 nad n i b. cmpt.r.d ir t. Fmir ir fd on. h@drcd doldA.f, $ar i. ln. pdfsm e of lllc *o* for whicn drii pcmir is isu.4 I dpl<ry 6y pason in eyb6e. iubj.d ro O. sdt6 lss of Cnifmi.. dd a8re rh.l if
<br />ofth. L$c Cod., t ihalt, fdlhwirh
<br />hun.lrcd thouud done 6loo.ooo),i,
<br />lnc kbr Codc. im.rd ed .lloo.yt f6
<br />LICENSED CONTRACTORS DECLARATION
<br />I hd.by af,im uda p6dry of pqjury rll.r I d lic4.d @da provisie of Ct.rrs r (cm;"cinE wth Satio
<br />thc Bch* ad Profeid Cod., ud ,rry lic.@ ir in tull foe dd .fc.r.
<br />. Ci!. C)
<br />APPLICANT'S DECLAR TION
<br />Ddolnion ?mil3,A!b616 Notiliodd F.d.rn R.Sul.!d. (Tnt.O, trt 6)
<br />_ R.qut d t rd ofNotili.llifi
<br />I ltc ro comply Pirh dl Ciry ed Cenry
<br />.!ov. '@rjdd pr.?dly fd i^rrcci6
<br />ofrnis C,ly ed Colnty lo dr.r
<br />Gas-Underfloor
<br />Waste & Vent
<br />Gas Service
<br />Lawn Sprinkler
<br />Rough Plumbing E,ATI I(LIJ
<br />Final Gas Test I rnrorE,D -
<br />Poli(y Numba
<br />--E\p,6
<br />pdfotfuc. of rh. wo.t fd ehich rhii p.nn i!
<br />l
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