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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<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 oil?rr//C A,h-{A
<br />Notes, Remarks, Etc.)u
<br />OxE.EoiLlE D..Lr.lbn
<br />I h.!t,.fiird ldd rdl, olFluy th.r I M ddF fom rn Co rcm Lse L.* for rlr follo*rE tr&n (G'70! L5 Build
<br />dd Proftr.ion Cod.): Aoy Cily or Cou,ry whth r.quiEr . FEi to coBlrud, .!6, iiFov.. tt mlnh d ltD.n oy .tru.r@. Fi.r o ir.
<br />isU.G..lto rGquiG rh. +plic,n fo.uh Fni to nk..iarEd x.toEd $dltqdEili.@d Fnu, lo tll povni,N .l llE
<br />Conm.rd . LEB.d L* (ChF. e. Com@ut. snn StlM ,0d) of D'v... t of ln. 8618 ..d trob35B Co&l d lhr tE a
<br />.lE ir d.,9l Oetlo.d it L. ld dE.lLa.d.raii, A!, viohlir of Sario. r0!l , br -, epli.lr br. Frn ou.d.0r
<br />rprlirn t. . .iril ,a.!y of6r te rb nvc hl!'.H rro[b ($00).
<br />_1, r o*E of th. pFD.dr, d By mployG *hh *.a6 a !h.r sL omp.Nrhtr will do Eso .drturM@irnori .rd!d
<br />or offs.a aor rl. I sc ,o... 6u'6! ..n ProfctDN cod. Tlj! Conhclq t lEM L.w d€ mi rrDly io rr or r or lh. DDrdry
<br />eho b{il.! or impmr6 lLron. .rd qho do6 rkh w.d hiell or h*lf or lnrou3h ti nr lE *tr .hpLy6, provitd thtl ruch
<br />inFov@atr m mr inl.!d!d ot ollRd 6r !k. ll h.*Aa. rlE h{ildha o. inFotm.ln i. rcld wnhin or y.u of mEpl.i ion. llr
<br />O*6-B{ild6 *iU h.v. lh. hdcr of pror68 rn r lE or .n. br blild or iororc ao, rlr pu.F* of $k)
<br />l,.o|Go,tt FrFry, o GiaiE drr .rit rrh lt.n d c.dr*rd r. oodfir.r 6. FoFr ( S-. 70aa. Bsic. 8t
<br />PFft.bn CorL n'. Coirr.cor'. Lir br do- 'El.Cer ro o ola o,rFFr, rtb hodd. d mr.( {Eo...rrl lio
<br />@d..8 fot .cn Foj.c. wrli . CodrEro(r) li=E d DsEn io ih. Co,n doir Lim kw )
<br />_l h.rcftrt urdd Selion
<br />t{orl(!f,scoMtftsaTloli Dfcr ^e^Tro!i! h.rt, .lfm oda Dcoly of Fio, oG ofllE 6ll rio, &Lrab6:
<br />_l h.E.!d eill uid.in r Cqrifi.rrc of Cor.d ro Sclf.l6t.. for 6rk6 Mr.urb,'. s ,D!d.d for b, Sdr.l7m of $.
<br />lrbor codc, tbr rt FfotE.a oftt w6t for eltt dE Fmi h a.u.<!.
<br />I llv. rn *'I md.6 srt6 @trpdrrM Mm. & rqc,.d b, S.cDn ,7Oo of th. L.b.r CodG lor llE psfmn. of rh.
<br />*ql f *t.[ th! FD. ir i$!il My m.td' 6nv3dM idlr,ld 6i.r .!.t ,oli., N-bd d:
<br />_! .drit th.r h tlE D6folr!.c ofrh. eo.t 6r rnth rhir FD. ir ih!.! I .trll Er 6Ob, .ry F-r b &, nl.,G o ! ro
<br />bdmsbF b tL Ert6 o'trFdd lBolc.nlmr.,n .3rc rh trI rtolld b-om $bF lo dE wt6'
<br />.oni!.uraon FoI..B
<br />A
<br />WAf,xlNG fllur. ro '.@ wld @nD.ad.n 6q.s. ! dLwn L !n .Irll (bjcl e @plols ro siEbd Foht url civil
<br />fc '4 to oB h.d ltc!-d doln (l I oo.@).b.ddtn b lt..!d ot.orDrcdriE &6rs B FlviLd br lt. Setir 3016 of
<br />dE tlbd Corle un{ar .!rl .ndry r a-
<br />UCIISTLCONIB6(IOEI-0ECIJEAIIA!
<br />I lE ty .frm uldd F hyof Frruy th.t I u li.cN.d udq Fovirbr of CIIFr I (d,M.i4 {nh Sd.n,00O) of Divition ! ol
<br />lh. BuiB .nd Pro&.rioE Cod.. &d Dy liccE. i! in tull foc rd.lleri"&
<br />Arfll(Atrftarga8allafl
<br />Dcm|nbn P.funl^rb.li6 Ndiftlhn F.rtdl RelldhB (1 ik .tO, Pd 6)
<br />R.quiEn lnla oaN.ifr.lio.
<br />, l..di[y rh.r rh. tu d rcauhri.d rqulirre Bb.tror llDv.lrc mr +rla.bk ro rhB pmr.r
<br />I..nrb OIl I br..ad ihir.pplE.tn. &d u. 'n E.boE eftl,D.b. ir(on.d l.rct 6r@lyrnhilCny.!dCouny
<br />ddim6 rd st.r. L.wt d.l"ra lo tdhr urtblu (Fxrirriv6 olrhir Cry .!d Cody ro .d6 uF. rll
<br />P.mnre rm(Finl): _
<br />^,,te Lzllg(
<br />mbrn9.hlpdro. Fle@d.&c
<br />PolicyNunhs l\pn.r:
<br />{ l}t srhi ft.ri 'l bc conpl.r.d rlrh.Fnr is fo. (,E hudr.d dolh6 itl00l or ks)
<br />calgaugla!.r[lDlEclcll(}
<br />I h.r.by .mm ori6 p.rty of p.quty lhd rls. it . coBrtu ihn 1..dry {cy lor rh. Ffol E. of lh rorl aor $ hth rhi, p..nu it
<br />iltu.d (SB 1097. Cir. c.)
<br />l .nds r Nrm.
<br />.bo1. nnnhBrl proFny
<br />Gas-Underfloor
<br />Fill Line/Back Flow
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