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PLUMBING{NSPECTOR RECORO <br />APPROVALS ID/SIG.COMMENTS O$.FB!ild.t Dccli.lid <br />I h.rcby tflim udd DcnJty of ,6jury 6.l I rrn.x6R fm ihc Ccltr.ton' Licdt. Lra fd th. follo?ini orol! (G.101I 5 Euina <br />rnd Ptofa$ion CodG): /tny City d Costy *hich rlguir.t . Firh ro s3trkl. dla. ioFdq dhblhh d rcPu uy .tuer, Fior io irt <br />i$e*, .bo Equie $e epliot for su.h p6n to fiI. . riir.d tnran fl th.r hc o 3h. b lic!r!.d Pt!.ubt !o th! Prcvidot of $c <br />c6Erd6! Licdcd Ll' (Ch.!rd 9, CdMc.dna with sccrio ?0oo of DivLi@ 1 of ft Buina Md Profdiot Cod.) d tl'l hc t <br />sh. il d6pr rhdEom sd $. bsi! 16 thc .lhr.d ddplid .An, rioldo. ol Salion 701 I 5 by ay .rPlicet fd . Fmit trbj.qt th. <br />.pplic&r ro . civil p6.lry of no( m@ $u fiE hw&.d dollar (troo) <br />_1. s olM of $. rro!.n , nmy aploy€ wi{r w{|. r| rh.ir slc 6p.r!.ri6, wiu do tt. wqt &d th. ttl!.l'[. tu not int n&d <br />or oficd f6 rd. ( S*.?oaa, Budnqr ud Prcfdri@ C.d.r Tho Cdr.dd! Uc@. r3 dos not .p?ly to & om6 of ln. FoF ty <br />who buit& 6 inFolr.,E6r Edwho.hd tld sst hi6df orn t lf a {Eou8h hb d hd om dploy.., F.vid.d 6!r tuch <br />improvmott e nor int6)dcd d ofi@d f6 3.lq If, howffi, th! buildary or inProvhat t rcld wi6i. onc y@ or complction, $c <br />Ou6-Build6 will hrv. {r bord.r of prcvin8 th.l h. d rh. .ot build or i6rd. for d. puadc of 3.1.) <br />_1, r omd of in. FoFn,,6 d.lBivcl, @nrstina wi.h lic@.d @EEtoE lo dttrud rhc lroiet ( S.c. ,044, Bqi.at Dd <br />PbfBtior C.&: Th. C6r&1o.! Li..e L4 dq nor .pply ro E oMn of pqcfiy who btildt q ioFov6 ll.r.6 . 6d *ho <br />coiEdt ld ru.h prcjel' wirh r Corr&uG) licorcd puEust io rh. conrr&rof8 1i.4. L.w.). <br />_l m .x pt und.r Sccdoi <br />-8. <br />& ? C. ld $t r..r!.- <br />WORKERS COM'ENSAATON DECI,AIATTON <br />I h6by .ffim !nd.r p@.lly of FJury o. of th. foll*inB del4tioll <br />-l <br />h.vc ed eiu mriidi r C.flifiol. of Cffiat to Sctl'lllurc for rc*d' mPosdon, rs Fovid.d fd by S.dioi 1700 of $. <br />Lrbd C.dc, rd th. p.rfcrEe of {Ewort for *hich $. pmit h ittu.d <br />_I h.!. ed will minuin sort6' c6pdr.li6 ituufu@, B Gqlircd by S.clion ,?00 of lh. Lrbd Cod., for rh! Frfolfu@ of ln. <br />*olk fd which Oi! pmir t isu.d My wo*cn' .mp6!.ri6 iNumc. cardi .id lolicy iumbq c. <br />Policy N6b6: Erpka: <br />Cn r r*dn n6d not b. cooplar?d il dE Fmit k fs On. t!6.t!d dolhn ll!00) 614) <br />$. p6fm&@ of $. work rd *hi.h thk FBn it ktu.d, I <br />Irw! of cdifmi!, Md l8E dlr <br />37oo ofti. Llbd Cod.,I rhrll, <br />, dM.td E FoYid.d f6 rhc S.di@ !016 of <br />tn. kbd Cod., int ren dd .lrdcy! f.d. <br />LICINSID CONTRACIORS DECLARATION <br />I hdby rfiifr u.dq padty of pdjury lll.1 t m licd.d udd provitio. of CtlPk 9 ( <br />d. BEin* ud Prof4id Cod.,li..u. n in tull aqo dd cfet <br />uidq po.lty of Fjury i'r.t thqc t r (hc psfmMe of ln. work ad which lnir p@i. it <br />, Civ C.) <br />AELICANIIDICLA84IIA! <br />Damlirim Pmi6-Albdro, Norifi.llion F.dad R.rlhid (TiU. .0, ?si O <br />_ Rlquir.d t tt6 ofNotificdiot <br />.bovc nodd.d prcpdry fd <br />UNOER GROUND <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipeing <br />Roof Drain <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 E)TPI[lE D <br />Final Gas Test <br />Meter Release 3EB-I :uI5 <br />^ AJ? <br />'AN <br />iAA n67 <br />FINAL <br />Notes, Remarks, Etc <br />DATE <br />Area/Storm Drain <br />Tub/Shower Test <br />tl <br />ffi <br />tl -f- <br />- <br />t----T-l <br />t-E