|
APPROVALS DATE COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Wasle & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test t-?-< - ( 1 JJ.'rt 6,a
<br />Rough Waler Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn S prinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />t-l
<br />Notes, Remarks, Etc.
<br />OWIER EUTLDET DELCAIATION
<br />I hat[, .rra u!.la F.ly ol Firy ftr I h 6.oF IDE tlr Cod.don LiG- LN 6r rh. bllowr{ E)i (9..7411.5
<br />B!.iE -d Ptolidr Cod.): A.r cir, c cotr, *iii Fqui6. F6i ro olrnar. .lr. itrFo\.. daEl6' q rqlt -,
<br />rrrrdE . Fnn b iB i!!.!. tto G$c thc t?lEDr fr'r ui Fni ro fik . rig.r .lrmr t t or rtE i lilr.d F,$d
<br />ro rla FovirbE of tlE Coorrarol Lk. .d Lr* (Cl'.grd 0. Comftin! wih Serion 7000 ot Diririoi I ol th. B!ri!6 .!d
<br />PDfabNCod.) dlt. h.dd!. i]aanrt dEtfromed lh.h.i fo.lt .lkrcd6arplbn. Ai, vbbbi ors<ior r0ll.! b, ey
<br />+lid for. Fni lbjelr llr r0dqn io.6il p@I, of el mlfio frc horH.r,{-t ll5@).
<br />-1..
<br />o*E ofrlE F!Fr'. d ny ddojd eih wrl6 ! llln -k 6n{aEdbi. viU & t wL.d {E r.Iic i! rll
<br />iro&d dotut.l.(Sc.?Os,EoiE-<l.tolii(EC.d.rlEc.'rr*rcttic-l*&-brtdyr.-ffiof
<br />$.FlFry eb hlld d iryoE dEr.'.. -d *lD &- idr {..t itErdfq l3rlld llmt8l t. r hc o$, opbrq
<br />Fnlit d rna kl nqlEl6' d !d ardd.d do&.d ftr rla l( hoff.0Ebirli'r a iqlEd b-a *t!h c rdofsryrrb( 0'. O{c E{ilk wil hE llE hrrh olFovi ! rhd lE o. rlE did Dt t{ild d il4.oE lh. FDFIy ft" llE Frpo.. of
<br />l. aosm oarh. Frt6y, m dclutr!.ly codmrS $i'h lkcru.i.o ldoB ro mrrtud rlE rroFl (S( ',rx{. ltliid
<br />M{ Pro(snn ( odc: Th. ( o atoi,l,i(d!c liwdo6 mr !n'lyr. d o*nr o l,,oFny $ho t{rlds.r nntn,!.rrn6a,n,
<br />ed $ho $tntur ld *t Foi.{r srh ! co n<ro(,li.B.il p(lllM r.rlr('odrxroar Lic.* lt$)
<br />I m .rmfi u.ds SdFn
<br />D.t. Orrr:
<br />tloSf,tEtlI:oltfIlsArul!
<br />DEIJAAIIA!
<br />I hdlby lllm @dd Dady ofpajury orc ofth. folb*iis {klraba:
<br />-l
<br />h.c -d *ill rtir.i . cqlik. orcq-t to s.lele6 b. Eta dpd.bi. . Fovir.d 6. b, Sdir l?q, orttc
<br />r.e. Coir..6.ll. Ff!.tLE o(ih Et b. icitlEFna iiE d.
<br />_l h.E rrd will uil'ri! sri6 6ry.b! i[rda . .tquidd b, S6rbo ]r00 oltlr lrbo. Codc, b. tlE FfdE. of
<br />dE Et ft. rlict dir Fli i UL liay ruta'.lqarrir it,tEdi6 rd poli.y n6b6 G
<br />I (diry rhr i. ih. FfollMc. ofrh. $orl ft" shi.hrhr Fm[ I i.iu<i, I nrlln.r dnnht in\ tEmn h !n\ nrnm
<br />s B 1o b..om. Nbj(t !o lh. sorl6' .omD.nMi.n hwr of ( alifomiq ond !3'a lhd ir I lh.uld tEcorc aubjd h rh.
<br />sond omFEn h. Foriric,B of S61hn 17(Xl ot llE l.bor (il, LEll. tonh\r h cotrpl) * ill lhrs F.r!iln3
<br />6 ,nL$ful, Md shall rlhi(r !n 6n0lt\( r, rlirtr{ul rmtb sd
<br />lddntun tu 'h..d ofconrFnsnr. d.rn.36 G pnnrd.d fu lh.
<br />t0.11-ra
<br />LtL! r \R \a!!l\
<br />I hqltt .IIm u,i6 p6d, of Fltr!
<br />of tf. BunB &d Ptufr.bd corL. id ny ltaa ir h tull 6re id .lIir
<br />.,*"*, OYt FP4 6 qt4iq(?
<br />Clf >Plqmffl-*'(>
<br />lh(.h) amnn undr Ffl.li) otFJu^ lh.r
<br />R!u.! ts( r0e7- ( n cl 'sr..n{rucr(n,LnJ,n!trldr\ [nrh.t{nflrin..olrhc\r't l,! \h'.hrhBFnn t
<br />AIIIJCAILDICIIAAIIAB
<br />I Hy &E urdq pod, of Dajry oB of th. 6lb*ii. &Lit6:
<br />D.mlirbn Pmitt-Albdld Norifr.rion F.ddrl R.lub bd ('1 h|. 40, Pm6)
<br />_Rtquild ranaof lsrit .i!
<br />lc61li) rhxr rh. Ldadl,.!tr1$oN '.Sd'di'r! r\lsrN(n.1trlx'. n.rrtl|h.r[k i) rh* t)r]i.rr
<br />idt birn nr.lh. Eaov. intudflb! aqrct l.aEro6ndr *ih rll cir.!dcotdy
<br />i,B .rtrtu<rb'! rn ialb drnria r.r.gdi6 of irt ailt .nd (b!,r, l. dra
<br />'4on
<br />dE
<br /><.2
<br />.*{I/-n lqL-P-ArzY,l
<br />to-?r-l(-
<br />PLUMBING.INSPECTOR RECORD
<br />rD/srG.
<br />I
<br />I
<br />FINAL {d
<br />l
<br />I
<br />L
|