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PLU M BI I'IG-I N SPECTOR RECO RD
<br />APPROVALS DATE ID/SIG.Os .Fntrlld.r Occl.rdtnr
<br />Ih.'cby ifil'fl u d! p.nalry ofpc,ruryrltrt I n cr.nfl forn r[. Conuncro'x l.tcrscl,rqli!rh.fdkrr,8rcsonG.c70J] s Atrsirrlss
<br />.nd Pmf.ssion Cod.) AnyC y or Cotrnry s[ich r.quir.s i p.nn rocontrucr.Jh.'. 'nrldv?, d.nr.liih or El)arany sructur.. f orr!{s
<br />6suancc.ahor.qun.sficanplcnmforsuchpcft'lrofilcasign.dnar.m.nr rhrl h.or.hc 6ll.oiscd puuurtrrrorltprDvsions.frh.
<br />Cotrra.bfstic.nscdLN(Chrprae,Comm.fcinBwnl,Sc on?000oiDiv6ionl.arh.Busrn.sa.!P'of.sronsC&1.)o, dh.6'
<br />nrc G cr.mpr rh.r.fiomandrhcb6i! for r[.0]1.8cd.x.n'prion Any vi6l iod olSc(rni 70rl 5 by nfy rrrplicnn 16' ipennr,ulllccs rh.
<br />ippl'cinr ro r civilNnahy olnd 'norc lhan fi!. huidr.d dolrt (lr00l
<br />l.6o*ncrofrhcpro|,ldy,ornr!.mrlore6whqag.sastlr."n)l.compcns r.tr.*,lldolhcsuLitrdrh.n'uctur.niorrn.ndql
<br />o' offcr.d fo'il.( S.c 7044. Aunrs n d ProLs'oN Cod. ThcCd kictit Lrc.nt Lrw (i..s nor rflrlvt),n owr' .frh. prop.ny
<br />who btrilds or inrsores rh.rcon, nnd *ho do.s rtrh \ork Iimr.lf.r hoscllor rlnou8h Iir oL hcr .sn c'nfloyscs. provrdrd thar s(lr
<br />lmn'ovcmots d. tr.tinr.ndld drofi.rcd for srl. lr, h.$.!.r. rl,.l,u'rdhgn nntrol.mcrr us.ld \1r[]t on.y.irorcorpl{of rr
<br />oqnc' Burld.' \ill[av.rl.l)tr,d.trofpnlrnsrh hco' sh. f,n hu']dd lmpmv. roihc | rr\. drsrl.)
<br />._l.6.wncrorrh.r,olsny.i'.rc[6r\o]y.ohrrcrgivrhlrcnscdcnnncknsrn.rhrcrrIsl)o.](.r1s..71)14.ttust.srn,l
<br />Pror'es,otrCod.Th.Conr'i.tn{l-r.cn\cl-r*dodsi.rlpflyrorno\vtrc'olp()rE{}sh.!trds,,lnipo\cslher.o0,ind*rro
<br />comncc ior such |'oJecrs w'rh ! cnN icl r (sl lrccD.c! pur!urnr Io lh! c( fnrcro' 5 L !.rsc Ln{ )
<br />_l ,m .x.nF undq S6ion
<br />\r'()Il K t:Rs ( ot\tP[\s \'rlo\ Du( l-.\R \Tlo\
<br />I hc,.l)] rffi uidd l)cralr\ . 1,.'1tr,) orc.ir[. i]llNIn! J..1.trJtr)nr
<br />llrrv.itrdwrllnritrhrnaacn,ficnrcorCoscdrft,s.lalisu(turw.rk('sc,!np0Nr'on.*povidcdrn'LtScdrlrrr00oirl'.
<br />Lrl)or Cod..forrhc pqn,nnrcc.f rhcwo''llor Nhichrh.p.mrni5rsucd
<br />--l [i!. r.dvr]lmni.rain r'!i.c6 conp.nsanon rnsuran.., $ rcqu,'!d hy S.clon l700.irh. L.be(ird..lor r p.donn.nc..rrh.
<br />\orkldwhichdrirlrn nis'5r.d Mrso'k.r. conrp.ns on nxur!...c '.ridFlictr mbc' rr.
<br />(ThE s.crion i.cd tror b..onplcrcd rrrhc t)@ir D for Onc nundrcd dollars il loirl d lc$)
<br />.2d', " ,r" '. '* 1", "'.., .( .' , .( qJ I i \l'. 1,hi. . d._,r . R.
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<br />dDfcDsinrr rr'r\ \ .N of s(dn,i tr0i.ir[. Lrb,i (i.de. I nrr]1. ionN,
<br />o,,O\>- Z4-o 6
<br />-,rpprrc"tL-$ \lt:,llN(; FrLltr:.r, !.ctr,rr,,ko\'qnir).r\I,i,cLLr.,'.,r .,, .,,i,,,r. , ,, nn ) f. , ',.\ jrJ ! ,
<br />fin6 up ro onc hundEd lhousrid dolld5(1100.000),in addition
<br />rhc Labor Cod., irtcrd dd lnon.r'5 f.6
<br />o J.if,Lr,!..\fL,ii( ., i,!!(r,,r r,11 ,l
<br />Ih!'chy iffifi unl$ltr rlry fl1lrruLy rhrrI rD lrc.nscdrndo t).usd, oiC rprd a .n! r!\,ri Srdr r lrr
<br />rl,.0usi06! and ProfssionsCod.,,trdny Lic.ns. is rn lulLtorcc r.d ef.cl
<br />Licds. Clsr __
<br />-o4
<br />lh.Bby aflim undcrp.nnhy ollErlurl rh rh.rc h ! .onrlructio. lctrdinE ascncy
<br />issu.'l (S.c 1097. Civ C)
<br />nninc. ofrh. *orl ror rhich
<br />'his
<br />pcmt is
<br />.\PPLICANI't Dt:( L,Tq \ IIO\
<br />l).n!',r .tr t'c'm r nsLicn.s N,{'1., .r l.LldrL R.grirt on\ ( I l. r0. Pi,r o)
<br />_ Riqlfcd L.u.r of Noti licorion
<br />-,
<br />,2,(un^ ,n no*u .r,rNons r.e-d,n8
<br />lf.cfrry rhlr I hrvc(adrhtr lp'phquo udl comply with rllC , udCou.ry
<br />thir Cny andCounly rocnro upotr dr.
<br />abov. ncnrion.d prop.ny lor '.spccrion >-"4-&
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeinq
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing EYt trrlFt
<br />Final Gas Test
<br />Meter Release Frn il I ?0'19
<br />FINAL SAMO6-4O iaur, or!, !bI
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />.B&PCfor$k,.Non
<br />ordltrancG atrd Srrlc Lnws r.hrng @buildinS
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