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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P{raplDrain Line
<br />Main Drain/Pool Piping
<br />Pool Heater/Gas Line
<br />M isc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL otlret/4YI I V\JNotes, Remarks, Etc
<br />o'r6-Ailb D!.lrdM
<br />I hd.b,.ffm ur'.. Frt,.f F.rrry rtlr t m d.nE 6m tlF C.rlllrdD L(!M r.w for.h.60110r'., ,.$n {s ,orl.5,&!i!a
<br />..d Prct6rb! Cod.) An, Cny or Co6ry rnich '!qun6 . Fn! lo oBlNa. tld. irt oE. d.mli.b or rcD.ir &, lrrud@. Fio. to n!isll.a, rlro E{ui. tt. .9?lbn &r nt.f, FDn !. 6lc . rtd 3lr.rd rLr h. d .n a lt.*d Frud to rt FDvirbr of rtE
<br />Co,rn td. Lsr.d lrvlchrr< 9, C6M&a rnt S.dbn 7@olor66n,of E B6m.!n Prcfr.ri,6cod.) drt.l t 6
<br />rh. n d@F rno.tlE rld lh. b.t ftr rlE rlLt.d d6FiD .An, vbLroa of S€iir. 701t .5 by d, .prli.d 6r t p..nn !ulj.<t th.
<br />.prlt ru ro . civil tcuh, of n r @c du! fiv. hudrd .blLr (1500).
<br />l. ! orE oalL pEpgry. ordt opby6 rirh r.a6 rtlli $k o4.d@ *ill.to rt *on.rd rh. {narc ir r.n in.od.a
<br />or o,Tr.d fo' d. ( s* 704.1, Bu'6r ud Prof FD Cod. Ti. Codncrd r L'aM t wddn r.pDt!omotrdofrh.FDFI,
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<br />Prof.s.n C.i. TIB Conr.dd r L..8 Lw dG Er .rpl, to.r o*G oaFopd, sho b{rBr d nprov6 rlEM , .rd wno
<br />@turd. for rEh FoJc! *nh . Co r.crdlt, ll6r.d p(6o.r ro th. Comtuoar L6e lrw )
<br />I e cr@F uryld S..rbn B APC forrfii! r.Mn
<br />woRxf tli coMPtiis{Ior DECLAIUTTo|
<br />I hdb .,rm oi- FEIy ot FI,y c ol dE 6ltlwi., &.L.diodl
<br />I ht!..nd rillmidrio r C.nifdl. of CoM.r to S.lfi !r.forh dr'@mFuriol! E provd.d aor by SarEn t70o ofrh.
<br />ttbo. Corlc. 6, rlE ,.r5!rlld olI! wort 6r *tth rh eqEt i i.!.rl
<br />I hv..id *'rldd.,h srla @hp.ur6r rdue.u ..qu.d br Sdb. r?00 of tlEt hor c.dq lor rh. p..fomx. oltt
<br />*orl foi *hrch lhr pan it su.d My worl6 comp.MrEn iEume cai.r.d policy.uobo r.:
<br />Poli, Nunb..:_Etpis:
<br />Oni. ldtbo !.ql Dt L 6eb.d if lt. F6i ! 61 6. LdU dolLn ttl@l o. br)
<br />_l ccnily rhr i. rh. pnfo@ec of rh.{ort f vhtt rht r.m'r n nru.d.I rllmr mploy rnyF on in.nydnn-srro
<br />b..rn. rubjaf ro rlE srt6 @np.n llnLsofc.tlfdnq.d.srerlrrlllrhould E rubJd b lh. *gtd
<br />corE erion Forni)G ol S.(i@ !7m oflt. ljhor Cod.. I .h.ll
<br />^r,L-t,$
<br />tt^Rltlt{G t.'ld. ro G,. Et6 oopdds @E a. . 6Lu,nr[ .trd .hll rbi.o i orlorq ro qiEiEl ,a.li.. .!d civil
<br />616 u, ro oe hriH rtd&d dolla (t | 00.O0).i! ruiiD ro rt. @r of coQ.6.riro, d.das r Fovi.Ld &{ r!. Scrlr 3076 of
<br />rlE L.b.r Corl.. i,nrd t n.n.fty r 16
<br />ucEll@.calrBAgaS!.otct38arlaN
<br />I n Eb, .rm u'is p.Elr, ol pcjury rhr I D lieo.d udn FDlirbi of Ct 116 9 (@mtuin3 *th Sdhn 7000) of Dvnio! I ol
<br />dE BuilB.!d tmf{io. Co.k. Ed ny licce it in tull tor..Itd.lfer.;fW
<br />coxsrtucTlon LE{Dltc l.:ricaIt !b, rtro un& Far, ol FiEy rb t!d! b r c6reiiE la.lhr .ac, br tlE p.rfom.rc of tl'. wdr 6r whtt lnir ,6!$ i.
<br />irhla (56. 109?, civ. c.).
<br />AIITICAIELEIGUX.AIIAB
<br />D.mhb" P@i}tuh.{d Ndin .ib. f.dd.l icauhbo (TiL,O. Pm 6)
<br />_ R.qun.d Lal.r of Ndifi qlion
<br />I .-riry lbd llE f6d.r.l r.3uldira Eredila .r6dl6 ll6ri e mt +ditbL to fi! Foi.rl
<br />I.cnrt rhr I h!v. rqd rhir.Fpliclrnln.nd rttl. rh,r th. tbor. inaomrion ii coE..l Iry.c.rocompl,sirh.llCil,..dCou ,
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<br />.torc Edioi.d Fpqly irr
<br />A!"li.al d.s.d.t.: (
<br />fmiterm(rnnl,
<br />I
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<br />o.nEPlumbing-hlC.clo. Rlco.d.&c 0331.06
<br />TOP OUT
<br />POOUSPA
<br />Fill Line/Back Flow
<br />*n-.,-0) --
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