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PLUMBING{NSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS OMd-Buildr Dc.hrdion <br />I h6.by.fiim ud( pstdry ofpcjury ln l d.xdF fm tl. Cot sldi'Lic.ne tjw for th. lollowinB raon (.4.70,I.5 BNinBs <br />od Prcf6ion Codd Aiy City or Comty which r.qdE . Fmn to c63Eucl dld, imprcvc, dnolish or r.rair ey ilrucl@, pnd to il! <br />i$@c, also '!q!ic $. 'ppli{r fE iud Fhn b nL 6 !i8n.d sllrool lhar hr d 5h. ir lieiscd puBust b $. Fovisi@s oad. <br />Conr.do! Li@d Lrw (Chapi6 9, Comacin8 witn S.cdo. 7000 of Dvidd I of tnc Bsins sd Profdliqt C.dc) or thal h. d <br />3h. is.x.mD. $cr.i6 r.d th. b8i, fc ih. sllcrcd q pti@ Any violdjq of s.crid ?01] t by My applior fd. FFn subjea lh. <br />6ppli6t ro a civil p6dry of rot h@ lt& 6v. hun&.d .lolls (S5oo) <br />_I, s om.r of rh. Fop6ty, 6 rn, dployG widr w.gs 6 lh.ir sol. .dFB!do., will .lo rh. woti d ln. sEuc-ru& is nol inEndal <br />m ofts.d fa 3rJG ( S@.70a4, Bun6 sd ItDf*itu C.d.: Tt. Conlda't Li.4. trw d.6 nor tpPly io a o,no of rh. prcpaty <br />vho buil& or imFov6 drew! nld eho .hd 3uch *dt hiN.lf d todf a !trolih his c hn oM mploy6, Fovid.d $.r 3uch <br />improvmatr @ mt inioiLd do,f.r.d fo.salc. It h444.lh. bnildine qinprov.'Mlii tuld eithin oic yd of cdplciio., tn. <br />oMa-Builddeill hlv.thc b!r&o ofFovi.s 6lt h.slhe nor buildGi F.v. fo th. p!.?o$ oft.ld. <br />_1, o oud of th. FDpdry, 6 *lciEly c4la.tiq wnn lictu.d @l'rt E to 6$tuc1 tnc prcj.cr ( s4 7044, Euin6s dd <br />Prcfdio Cod.: TlE Co.E .loft Lidllc l,!* .16 not !p?1, lo u oua of FDFty who buil& d ihprov6 rh.@n , ed who <br />.ol'&E rd eh prcj.cL witb . Cdtraw(s) licasd prr@r ro l,\c Cofiaor'r Ucdt L.e ). <br />_l o qqnF untt r Sedd <br />-8. <br />& P.C. for thit n ror. <br />WORXERS COMPEIYSAAION DECITR TION <br />I ha.by afllm udd pa.lry of Fjury mG of$. roUNinB d..lrnlioir: <br />_t hav. md willnrilldn. C.rd6c& of Coler to Sdflilm fo. wdt@' .onpd3.don. a provid.d id by S..tio 1700 of $. <br />L-lbor Cod., fd6. p6fdr't.@ of th. w<rt fowhicl! lh! Fnil n is.d. <br />_l nrv. d will ruinrh wdtd' .6pd!.ri6 i6ume, a r.quirld by S.dj@ 3?00 of ln. L.bd Cod., fot th. pcrfolrue of $. <br />wort fo. which thi, pann h islcd My eo*d .dp.$rion inrur c. cdi(r and policy rlmb.r a. <br />(Ihir d6rio n..d nol b. .@dald if th. Fmn i! ld Onc hundad d.llc {l l0ol q 16) <br />of 0E wot for *hi.h rhii p.mn is issud, I shall <br />l.wr of c8lif@ia Md a8r& li.r <br />th. L$d Cod., I lhall, inl'with <br />dolls (l100,000).io addnioi on, dmag6 s provi.Ld fd lhc S4tion 10?6 of <br />th. Labor Cod.. inra6t &d .nm.yk f6. <br />ucEslplaNrB^clqE!.0[claB Ea! <br />I hftby amm ud.. Fnalry ofFjury rrrr I 6 li6ed undd prcvti@ of Cne&r 9 (@mm.ncing wi$ s.crio 7000) o <br />ln. Asins ed Prcfdions Cod., dd nr la6s is in full fdc 0d.tr n <br />orFrjlry th <br />'nac <br />is ..@6r.ucdon oflhc *ort forwhich ihh prmn t <br />,ct c) <br />APPLTCANT'S DECL XATION <br />Ddolirio Pmja,Albdd Norifcr{d rod.nl R.8rl.rid Cridc 4q ,ar 6) <br />_ R.qunld Lc!.r ofNotifiCtioi <br />-1-":,that thc f.ddl rcsulations Esading 6b6t6 rcmovd d. iot.ppl <br />thd I h.v. Rrd lhit lpglic{lid md I lge lo cohply viln all Cily od Counry <br />ordineG sd srd. t w5 rcldin3 io buildirS <br />lbovc mdd$cd prFriy fs iru!.clio <br />of rhis ciry ud Co6ty ro drd <br />UNDER GROUND <br />Waste & Vent <br />Water-Underfloor <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 />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 <br />Final Gas Test Er\r r <br />Meter Release LntorLl, <br />FINAL SAMC 8-43, i t90, 556, 66 <br />Notes, Remarks, Etc. <br />Roof Drain <br />L.nd.r! Addr65