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PLUMBING.INSPECTOR RECORD <br />OMa-Build.r D..hruid <br />I h6.b, anim u&r p6.19 orFju.y rn{ I @ ddF fm $. C@rerd' Li6!c La* for rhc foltowin8 Ba (r@ ?0r I 5 B6io6s <br />ed Pmf.$ioi Co&): Any Ciiy n Cluty whi.h r.quiG a pdnit ro cdt !4 .lld, improv., danoli5h or r@d. y rrudurc, pnor lo 16ism.., .h6 r.quic tlc .ppla@r lor iud pcmit to filc ! 5i8n.d skr.lMl th.t h. d 6t. ir licai.d p6ut lo $c pr!!ni6 of lhc <br />Coilrado! Li.ai.d Las (Ch.ptcr 9, Conhdcing with slcdo. ?000 of Divirion I of dt. BNin6s md Prcf6si6s Codc) or $a! h. or <br />sh. is d.nF $lrtfmn lnd 6. bt jt fo. tlc .ll.scd .xaFio .A.y violdio of Sctio 7011 5 by dy applicd f6 . pcmit 3ubj.cE 6c <br />.pplimr ro . civil pcnalr, of iol nd. dtal fiv. hudrd dollB (St00). <br />_1. 6 omcr of rh. Fopcrty, s my mployB with w.ag B $cn 3ol. mpc.saro., yill do rh. work ad ln. lrudu. is nor inEnd.d <br />d ofi.r.n fd ..1. ( Se,70a.. AEind ed Drcfqid Cd.: Th. C6E-l' r Uc4G t, d.6 nor apply ro s own.r ofrh. propcriy <br />who buil& d imFd6 rh@., dd rno dc auct wort hi@.lf or nddf o droBt hi! d hd oq ploy6, prcvid.d th.t ruchihprcvnor, a nor itrc..ld 6 or6!d fcial. !( hqdd, rtc buildirS d ihprcv.rnr i$old wi$in on. rd of @npl.rion,lnc <br />OM6-Buil&r *ill havc lhc bur.ki ot provins dlal h. or th. nor boild o imFo!. fd thc plrpdc oi sal.) <br />_1, a o@rof dc Fopcny. m.xcluivcly co r!Eri.8 virh liccnscd c@Eets ro colrud $c pojcd ( S@ 1oaa, B6ind&d <br />Prof6ion Cod.: Thc Cdt!d6r! Uc@. ltw dc not .pply ro d oMa of prcp.riy sto b!il& 6 imFov6 lhfton , dd who <br />cmFr.6 fd $d p.oj@u eilh ! CdEadd(, li6i.d pl,!@r ro dc Cdruro,'. Li@n* Llw ) <br />WONI<E*S COM}ENSATION DECLAiATION <br />I hfthy !fiid u..Lr pa.lty ol Fjlry oic of th. foll@inS rbcldiosl <br />_l h.v! &d eill @inr.i. . Catificdc of C@ar ro Sdfltfu fd wdt6' @hp.ns8tio, s Fovid.d fo b, S@rion 1700 oa rh. <br />Labor Cod., ld 0!c p.rfdm.n@ of th. wnl fo which $c pmir h i$ocd. <br />_l havc ud vill fr.iilaii *q*6r cmpaslrion iuurue, s 'lquiEd by S.clion 1700 of rt. Llbs Codc, for rh. pcriomu.. of rhc <br />wort for which rhi! pfft i, iilucd My wdt6 .dFlado inlumcc @ia sd policy numbcr dr <br />b. @mpl.r.d if th! Fsit is for O& huidrcd doll6 {l I O0 } or le, <br />p6fme@ of lh. woi( for which fii! pmn h i$ed. Il.u of C.lif6ir! ad ase lhor <br />doll6 (l ! 00,000),in , d&n$B a prcvid.d f6 tlE Sad@ 10?6 of <br />t n@b, .ffim 6d6 pdllty ol pa;ury rlr.l t m timca *ao p",i"io or Ct'rpra 1 <br />lim3cis in lull foc. d.f6t. <br />p.rfmMcc of th. *qi for which Uii Fmn ir <br />309?,c) <br />AIILICANT'S DECL IIAIION <br />Dnolirion Pmit!-Albaios Notifc.doi F.darl R.tul.rim (Tidc {0, Pri 6) <br />_ R.quir! Lttr.r of Notific.do <br />-Ao^^lnc f.d.rd Ea!l.ri@ rc8rding <br />I hdv. E5d lnii .pplacirio I .8r.. lo @Dply ei$ all Cny od C@ <br />ordino@ ud 56r. Llw! rc]. n8 iobui <br />abovc 6dno.d ,rcFq l@ isrerid <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <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 />Jr/ain Drain/Pool Piping <br />Fill Line/Back Flow <br />Misc <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanita Sewer/Cap <br />Back Flow Device <br />EXPIF ED <br />lgugtr Plumbing <br />FEB-I ZUN <br />Meter Release <br />FINAL <br />Waste & Vent <br />Water-Underfloor <br />Pool Heater/Gas Line <br />Final Gas Test <br />Notes, Remarks, Etc. <br />_I n qmpl u.lcr Setid <br />-4. <br />& P.C. ld this !!ei <br />(Thk <br />---[---- <br />T- <br />- <br />F <br />I <br />=tr- <br />i-