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APPROVALS DATE ID/SIG. <br />UNDER GROUND <br />"-c,ert <br />Waste & Vent u-tLFn <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />Waste & Vent 7-tl-/1 /Lz 2 1 <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rouqh Water Heater <br />POOUSPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rouqh Plumbinq 1'ztaP rrL) <br />Final Gas Test Aq/zo t'L cz 7 <br />7 ,,4Meter Release ,ti1f.zo /ZLz' <br />-zd <br />2 ,\t> <br />Z€/ <br />s}Gzv <br />Notes Remarks Etc <br />FINAL <br />R.<-t <br />2 <br />Itf f t or,--^6,5J ,fL/n <br />we^l <br />PLUMBING.INSPECTOR RECORD <br />OW]IET AOILDER DSLCAN TI(,N <br />I trEt'y .mrn uid.r F!h, of pdjury rhd I @ .rdlpl nom rtE Co rcl6i l]eE Lrw hrl'E tlbwil. ten (Sd,01t 5 <br />Au.r.B .,n tre&.rn Cod.) Ary Cny or Ctun, *t.h t$6 . Fni ro 6lrnEt. .hq. orFoE rbmlnh or EF ey <br />i,ude !.s lo fi ffi,.h.,.qrG 0E +drr trutF6rlo fL r.iFd rralEt tLltot .lt6.d F,.nrl <br />16 $G ,rsrr ot ill. C.drld! U6.d tr, (Chrn6 9. Coffin! wln S.dnn 7000 ol Dllfrn I of dE Bs!6 .d <br />PDE$nN C.&).r rtll tl r rh. ! d.n$ $drto6 rld 0r bcr6 tu ltr iLrd d.irlbtr Any vbt ibn of S<{.n r0l1.5 t'y &y <br />lprlar'r tu . ncmr objc<r. rlE {lpl,c.,l lo . .ivi I ,.rhy olml mE fi& fivc b,nrd {ttlL.. (tJm). <br />-t. <br />r o,EolrlE FDFry, d ny.i?lord rth *.ad r ri -l onFri,n tO& dEtlt tn 6. irre i ri <br />nrnd.d n oltr.d ni il. lsc ,o44, &!i... rd PFI-id cdrL Th. Conrdd t Li.!a Ln &E hl npl, ro e orE of <br />E ,oFy qho hild d itrts€ thaal! id *tb dE !.h m,t hin-lf tr lEdlf or rtmlrh hn or id oM .tPt')4.t, <br />Flvit d rh.r eh irybEEnt E d ir.d.d d ol&rd bi iL l(,lrEE, dt h|ild{ tr i9ftEcd iD! tali' * }EofdDLid\rt Orc e& rilt be lh htrh ofFu,rt lL lEalE.|i| lbr hdd d il4.oE rlE FtrFly n th. paF..of <br />!1. . ffi of dE !E aty. u dch!'Ery .orr.-lDr s[h lcEd snffiB t. odnrl llr FF lsd ?oaa, auiE <br />an hotincod.: rn Codrdd.! LEGC lrr.lc ml @lylo -offiorroFrytb t ilLd @roEiEoc <br />.nd who clr.ttr b si FJ.dt wnh . coddr<., !Id-d <br />d <br />I h.r.hFnirm und.r FMhyolnqluryoncorrh. folkr{mg <br />-l <br />h.c.i ill mdri,!. carifEr. of cocr b sdfltu ni Bro d!Fn{i..! ! Foi.Ld &t t'ys.6bD lr(D.llll <br />trt(r c.& tr rlE pdt'ffi ot lt. n t &r dt$ dr Fuit i ird. <br />-l h.E.nd wrllroinbi. wo*di sorrn.lhn !1t6t , s r.q!ir.d by Setbn 1100 ofdt t bor Co.h. h,llf, Ftxmx. of <br />rh. wr &i rtEh rh! Frnn i i*d My 9dla onFrair im csid id FIE DalE E <br />_l di& rld ir ilE Ftffi.f E n)r! 6. rtrh.h'. |lm, r Ru.d- I a.ll u{ dtpby.ny Fs 'nuyn'lEn s lo h.qft Dt!F1 !o rtr $,td onpdErM hu of C.lrf6ri!.. nd rgc $r tl I tmld tdc obr.r lo r <br />world onlFNlon pmvilioH of S.dion l7O0 of dr l,tior Cod.. I dill. fnthsnh otrpry wirn 0r. povirsG <br />rbF n dlpbF t. drdrl FiE rn <br />6rE rar@ &tn3d.r Fovd.d 6. llE.Ml ,iE !, ro oE lEid thouod.hll[ (!loo.mo), r <br />Sc.r( :lr)?6o, rlr I rhn rrr.n lnd eorrEy r rd <br />I h@hy !fiim uB!.r FBhy of ,ct ury thd I .o lianr.d urxlr Ftviion of cllpl6 9 ( snjtrffii, wnh sdtion 7{Eo) ol Dritio. I <br />ol E Brri6 .d Pretnd Co&. .d ny ltat ir it tull 6c rn dk t. <br />CqISIEICDO&EIIIICIGTIII <br />I h.Ehy .Ilm undd rErlry olr.riuty dfl lh* i! ! Nrrnr.lbn Lidhs .r.tuy lor rl; F.tumN of ilE w* 6r stth rhn Fnr ir <br />naad (se. 109r. civ c.) <br />A!!|JCAtrI.DTGI'EAITq! <br />I 6y.eDurdoFd,orFiu.y6of tlt 6lb'or 4.h.tior <br />Dcn n6n P.mrgAlb.n r Ndific.riotr F.d.rl R.rruLrhni Onb aO. ?&6, <br />-llqld <br />laGoatlditu <br />-l <br />cdiry rlld rlE ftdcil qNlLrbM Etrd'ry ad.<oi lmrd R Bn {ilic.tL r. iht p'bFr <br />l.ntitrhd I hE Ed lh! .rDli,lirn nhldnn scocl I lBE ro od'rly wirh.ll (' y.rd Cou.ry <br />xrd sd.t B ELdn ro t{i dLrE EFrd.lrB of <br />Applk{ i or r.nr s,rnsiurr <br />l[tr: <br />&.t^dn v twvlMl* <br />rh. c y sd cordy r. d. qhn dr <br />*,. l4rlr <br />COMMENTS <br />TOP OUT