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PLUMBING.INSPECTOR RECORO <br />APPROVALS DATE COMMENTS Om6-Build!. D..lf.tid <br />I t6cby rfiinn uidn pod9 ofFjury lnd Ln exanpt f.,n 6. Cdl' don' Lic.$. Lr* for $. follovinl rc.toi k.c.?01 I 5 Burin.$ <br />&d Prcfdi@ Co&): Any Ciry o. Coonty wiich ..q!iE . Pdnit lo conrnu.( dl6, ihProv., (bnoli.h d &P.]r &y tElctuE, Pri6 io itt <br />it!a.., dlo ttquis dE.pplior a-et p6nn to iL. ii8n.d isrmr! d!.r h. q tn. h lcd.d P@@r !o th. Ptuvitl@ olu. <br />ConEr.ld r Liccn!.d Lt* (Orfna q CMctn8 ,iti s.cim 70oo of Dini@ I ot $c Buin4 ed PrcfBtidt Cod.) or 0!.l h. q <br />rh. it .,(om/ $ldfrofl Md rho bsir fo tlc dlcs.d cxdpdon .any eiolttlo of S@lid 703 LJ by &y .PPIics! fr . Ffrn t!bj.cl! Uq <br />.!'plicst r,o . civil Fdty of ro. mm $u 6E hu&!d dolt.r, (SJ00) <br />_1, s a old. r'oFry, or nr oDloyd eilh s.s!. rr lh.t tol. cmFr..li6, will & tb. *ct lld lh. tft.in! b.or iil6.Ld <br />or ofi.rEdfd..lc ( se.7or4, Auin.t odPrerdio Co&: Th. cdtr..!or'.Li@. tt*.is no.r9Pll io & om6of l|'.FoPctly <br />eho build! d imFov.r $a!or, .nd wno d.or ruct *o* hir&lf 6 h6lclf a $!ou$ hk a ha om .mrloyc6, ,roeid.d th.l luct <br />ihFo1k6l' e rol lot6d.d or of,lr.d fd.d.. If, hryaq, ihc buildns or I !tr!!6et it old eilhitr oo y..r of cotiPlctd, t. <br />Omd-Buildlr rill h.E d. b{td!. of provins $il t. or .hc nor blild - i6Fos fs 6. purpo.. of t.l.) <br />_1. r, Md of rb. pr.'r.ny, 6 q.ll'lEly @Er.rini pith li4d.d @s.c6 io c@trud th. pdj6l ( s@ ?0a4, Bui.4 &d <br />Prof6rio Cod.: n. Coitrrdort Licdc l- do6 nol .pply to ln orvncr oftrcp.ny wno buildt or itnprov.r lh.$d , !d eho <br />c6ner. f6 lsch proj@$ {iu ! c6tun 16(l) lic6r.d Pu6ut to thc cormdor! Lic.d. L!w.). <br />16 d.d u.L. sd,d .8. & I C. r* lhit Bd. <br />WOnI(ERS COMP'NSATION DECLARAIION <br />I hd.by .flim uidn paalry ofp6ju'y on. ol th. folloqina delalront <br />-I <br />h.E sd will minr.in r Cdific{.6f Co$c roS.lfnN fd*dt 'l'ffiP.$.ti6,3 Ford.d foby setioi J700 oflh. <br />L.hd Cod., fo. rt. p€fdrme of li. work fo. which d. Pmil it ie.tl <br />_i h!v. d will E.inrdn *dlm' conpcNatim i.rusc., 3 fquiid by Sdion l?00 ol lh. kbd Codc, for lh. ,.rfomoa of rh? <br />wo* tor vhi.h rhis p6mir is issu.d. My *od<a' cmp.uadon i$urocc cdi6 dd Policy nunb.r d.: <br />b. c6pla.d if U. pmn i rff orc huidrcd doll.E (t 100 ) * l*) <br />p6fd1Ma of 6. wo* for whicn $n pdnit n i!u.4 I <br />hwt of Crliami!, sd txre <br />of ln. r$d Cod., I th.ll, <br />inrd.n &d.nomcyt f*r <br />I hdby .ftim undd paalty <br />thc BBif,s sd Prcfdid3 Co.la my licd? is in tull fde &d cff.ct <br />ud.r ladty oa Fjury thol lh@ ir .$. p€f@$.. oa !h. wo ldwhid$irpmirit <br />309?, Civ C) <br />A}ILICANT'S NECLARATTON <br />Doolttio ?cmj&A.ts!d! Noriticcion I.d6rl R.suldiolr Ghh 40, P.'1 O <br />_ R.qui,!d lrtta ofNotificdor <br />to cdply ei$ .ll City sd Canly <br />.boE d.nri6.d prcpqry fc iroFdio p!'pd6. <br />l <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 />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P-trapi Drain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Misc <br />Gas Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />E,XPIR ED <br />Rough Plumbing <br />Final Gas Test Fr_o : r autJ <br />Meter Release AMC 8-43, 29(r, 556, 607 <br />FINAL <br />Notes, Remarks, Etc. <br />tD/stG. <br />Area/Storm Drain <br />Water Service <br />Policy N6bq: ErPiEffi <br />F <br />r---l