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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE tD/srG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifler <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipei <br />Roof Drain <br />Tub/Shower Test <br />Rolgh Water Heater <br />POOUSPA <br />P-trap/Drain Line <br />sMain Drain/Pool Pipin <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Misc <br />Gas Service <br />Water Service <br />Sanitary Sewer/Cap <br />Back Flow Device <br />tr <br />Rough Plumbing EATII <br />Final Gas Test rEO _2019 <br />Meter Release <br />SAMC 8'43' z uu, cco, oe. <br />FINAL <br />Notes, Remarks, Etc. <br />Owrcr-Buildo D.dralioi <br />I h@by ifiim un&r padry ol paju., lhAl I 6 cxmpt fm t. CorErors' Lic4. kq for llj. follo*h8 Bon (ia 7Ol LJ Busin6s <br />qd PFfoion Cod.)r Ai, ciry n @unty wticn Eq!i6 . pdnir ro con nucr, alla, imFoE. d.molish o. Ep.ir dy 51roc1u.., Fior ro iu <br />i$@cq d.o r.quiE rh. atpli{l fd 3ucl! pafit ro filc ! ciF.d rlamr 6.1 h. d rn. ir licfucd puRuur ro tt. peviliN oarhc <br />C@r&t6! Li6s.d Llw (Ct+t . 9, ComMcin8 *illl Sed6 7000 of Divilio 3 ot lh. Bcinos Md Prca*i@ C.d.) d tlat hc o. <br />sh. is .icmfl 6crct!,r 4d tc blir fd th. all.Scd .x6prid .Any viol.rio of SEti6 701L5 by &y appliMi 16 . pcmit subj.cB rtc <br />applicul 1o . civil pa.lry of no. ho'! $a fiw hundrd &116 (1500) <br />_1, B oqd of $. FA-t , a ny dployG yilh w.g6 s th.n d.cmp.nt!li@, yill & d. wo.! ud itc.rucruc ii trot inrmdal <br />d ofidEd f6 r.lc ( Sc.70,1.r, Baind ed PEfsi@ C.dq Thc C@r.ad,r U.d. ljw rlG nor .ppl, ro D omd of thd prcFny <br />vho blildr 6 imFoB rta6, rd sho do€ $ch wat him.lf q h@lf a dmud tt 6 h6 om nptoy6, Fovidd rt luch <br />ihprbv@6l! e not in6d.d c.fidcd fd i.1.. l( horynd. thc buildin! d ihprovd@r ir sold ei$i! on. yce or chpt.iion, rhc <br />Osno'Build.r will h.v. tnc blrdcr of prcvin8 rhr( h! or rnc nor build * im!.orc for $c pulpcc of salc) <br />_I, a (Ma of 6. For.ny, 6 .rclGivcly 6r-rh8 wi$ licoscd 6r&16 lo @nsEu4 d. poj.cr ( Se 704a.asin6ad <br />ProlBion C.&r Th! C@E cd'r Li6& le .toa noi {'pl, to e oqi6 of Fop.ny who builds 6 inFov6 rh.@n , &d who <br />@8 .1t f6 sd Foj6n wirh i coE ..d{, li6tld F6@r ro rhc C@E!.rdr Licae rrv.). <br />_l e cx.Bpt u.Lr Setioi <br />-B <br />& P C for 0!i, Bo <br />Owne <br />woRxEns coMpf, r{sAatoN DEcr"ARlTIoN <br />I hr.by lilim u,.ld porlry ol pqju., o.c of th. follryinB dalerim: <br />_l t.v. &d vill mliillin ! C.niii..t of Conlcir ro Sclf-loruE ror wort6' .mpc$arim. s provid.d tor by S@tion !?OO of $. <br />t2!or Cod., fd $c pqfdfucc of $. vdt fd qhich rh. Fnn ir i$u!d <br />_l havc dd qillh.irEin w6t6' @opa.ati6 ituUfu@, q r.qliEd by S.cri6 37oO of thc l-3be cod., for $. lErfoMc. otih. <br />wort fd which this Fhn ir i$uG<L My wdl6' c6Frs31im iisuru@ @i6 dd pdicy nunbcr & <br />ErPiG <br />- <br />b. cnpld.J if0r.panir is aor Onc hundr.d d6llG {ll00l <br />Ffomu@ of lllc oo* for which $i5 p@n is i$!.i, I <br />l6v. of Cdif@i!, -d .ete <br />3 ofdE Labq Cod.,l sh.ll, <br />dollc (1100,000).in addni on, daE.g6 a providcd fd th. S.crio. 10?6 of <br />LICENSED CONT&{CTORS DECLARATION <br />I hfthy .ffim &dn poally of r.rjsry rhc I e li..tu.d qd.r lrovirid of Chr9rr 9 <br />thc B6ind &d Prcfsiom Co&, od ft, li6s. it i. full foE md cffo.r <br />undd Fi.lry of Friury $al $q. is r @No!cri6 I ofrhr wdk fo,hich tht p.ftir ie <br />.c lo97,Civ C) <br />APPTJCANT'S DECLA&ITION <br />D.nolirion Pmiis-Asbst6 Nodlicsdon Fcd.Et R.8ut.ri6i (Tidc 40, p.n 6) <br />_ R!9ri..d L.n6 ofNotfiqdo4 <br />7;""th. f.rt i.l r*ul.d@ 'cslrdin8 .!mvd &. no' +pli..bl <br />I h.vc c.d rhit ryglicario dd I agr* lo comply wid.ll City ud Counry <br />oidinsc6 ed Shr. L.ys rclalins ro buildi <br />ibov. mfion.d FlP.ny ld i Fcrim <br />I <br />I <br />Lawn Sprinkler <br />E__l