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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS Owner-llullds Dcclar!liotr
<br />Ih.'iby lmm undcr p.nolr, of,,c'jury rh,r ! r'n.x.mp fom r[. Cofuicro'5 |-iccrsc I-,1fd rherol]6N trs,.6onG.c70rLsBtrsncss
<br />nnd hof.ssion Cod.) AiyCnyorCouiiyw[lch,cqutrcsap.'nnro..trnrucl. Gr' lrrovc. d.nrlkh dri.!!tan) strucrur.. pno"d r
<br />$uin.., llro r.qut.s lh.qrp|canr Ior sucn p.nnn ro fil.as,gr.d n.r$cnr rnrr h.or nt k lic.rs.d prrnffr rorh.t)l.!rro.solrhc
<br />Coflkacb'! L,c.n!.d LJw (Cl]rDkr9. (omm..crtrE lnfi S.crion 7000.rD'v6,on L,l'r[. Busrcss lnd Pror.$i6 Cff].)or 'hlh!orniciscx.mprrh.r.lomindrh.bslsforihc!llcs.dcxonprionAnyviol oDolS.ctnnr0ll 5by Mr rl)lt icmi tor i pcmllsubj.ca llr.
<br />ipphcinr ro i civilNnilr, olnor morc ihan fiv. hundr.d dollaB (t50r))
<br />l.$o*nc'orrh.|'op.ru,orm]cmploy.cslv'rll*rg.ss(h.ns)l.conl).s on.$llJ.rhc\eorLr,!nr.n'ucrur.rnoritrr.id.J
<br />ni of.r.d fo' s!1. ( S.c 704,(. Aorn.$ and P'.fus,d,sCodc Th.Conlldor's L(.trs.I-rq d(4 nnr J )lytri.io*nqofrlrcp'oP.n!
<br />lvho 1)u lds or inlror.s rictcotr, und who docs such No'I hrnB.lfor Ic6.ll or rh'!!a I h's o' h.rosi.ml)n]vc.s. pr.\rd.d rrDr lrcll
<br />nt$d.dorotfcrcd lo' s,l. lihow.ld.r[.1,u'ld]Dso' h,Pnntnrctrr u sold wn[ i.ney.J, orconrl.tDi rhc
<br />Owtrd Euildo *Lllhivcrhcbi'd. olpro!inE rhrr [.orsh. nor brildtr,6pto]. ni
<br />'fc f0rpo5.orsrlc)
<br />-1.soulEroldr.plorErly.i'n.rclGivclyco
<br />ki(nn8* hlrcc.sc cnini.trtrst)co nrucr ri( f'orcrr( Sc. rora LnEnr.ss,r,j
<br />B.f.srotrCod.Tl.Cotr!ncrdfsLrcc.scLlrdcsnorlpplyloan.wncroipor)cnyqlloburlds,r,nru!r.rrircrcon.lndwl'o
<br />conk&B io.slchllolc.ls wnh ! Contrelor (s) liccn$d puEulnl lolh. cont,crort Lrcctrsc l-rw )
<br />_l am cronpr und.rS.dio _
<br />Ow..r __
<br />rlt)\ t)I
<br />I hd.!, afn,m undcr pcnahy orpsjul oi.of c lollowlie delaBriom
<br />_lnr!.oduillrnrinllrnrCm'fic.r.oiCons.droS.lf-lnrur.torwo 6s cdnrp.n\.totr. s rrrov,dcdforbySalro(1700ofd,c
<br />Lrbor Codc,lor$. ic mrncc of6. qorl for uhich hc ptmn it istucd
<br />,l h!!c nnd will mlinra so'kqs'mmpcisdtoninsurntrc..srcquRdbySccr'otr170() fdr.LrLor(odc. for rh. Edomanc. oi rl'i
<br />vork fo, Nhich fik pcmil i3 isstrcd Mywotl.rs (nlpinsaron nuuhnc. cr'w iDd p.ll., r mbq .
<br />Cai.! __
<br />LII r s(dtrI iL r.r l]. conrt) d.J,lrh( ttnr r * r.r ()r. htrrd.Ll,l.lL., s ! r)l .' drl
<br />{rii rhar ii rh. pdfodrdrc. ofrh. sork lor whr.h thn pcmrt u i5!u.!.1shJll n
<br />7-7<-o
<br />.o'np.nlrton h*s oiCaliomi. md!Er..lh ifI
<br />fi ci uptoon.hunJrcdrlrousnnddoll s(1100.0{)o).inald'lronbdrcconorco
<br />rh! LrborCod.. rnro.s indi{o'n.y-s t .s
<br />ior. damaB.r 6 Dlvidcd ror
<br />I hcrc6y rillnn trnds pcflr ry.r|t' u r lhl I rnr lL..rs.,t urdc' p'ovrion .tChiF.r t (
<br />r AunGs.nd PDL$ionsCod., lndhy lic.trs.t rn full lorccondcficcr
<br />Lic.ns. ClEs __-ot
<br />lhc'cby amm und..poilry ofpcrjur) fint rh.'t tr a.oisnlcrion
<br />is$d (Src l097.Cr! C)
<br />c p.rro'nnic. ol rn. eo'k Lr vhich nrs p.,mn ir
<br />ATPLICANT'S DECLAR'\'I'ION
<br />Dcmolirion PcmnlAsbcsrs No!fi canon Icd.rrl Rcgulatons (Tnl. a0
<br />_ Rcquft d Lcrtcr of Notifi ciiion
<br />K,hd rh. Ld.r rcBul ions E8nrdn'g sb.nos r
<br />rh lh!v(,cadth6 apl)lic.tion nid complyw,rl,rlC y! dCouory
<br />and Slitc Llqs rcldinS rob0ilding orrhs Cny and Cou.ry ro cnt.r upon $c
<br />--og-o6
<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 />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />IrIain 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 />Rough Plumbing EXPI IIED
<br />Final Gas Test
<br />Meter Release F E.H :I IUIY
<br />FINAL
<br />gAMc e-(l '
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />.bov. m.nrioncd Drop.fly lo, i,rrp..rion
<br />Water Service
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