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PLUMBING.INSPECTOR RECORD
<br />DATE ID/SIG.OxE-aliltl D6lfre
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<br />IICEXSII' OONTT ACTOlls DICLATATioN
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<br />A?PLICA'{T'S D]CLAi TIOII
<br />D@Bbn P6b!r-Ab.id No.ifdbi F6dcd a.r!L&a GtL a0, P.n 6)
<br />_ R.q!t d Lda olNo{ifEriotr
<br />I c.rl'ly rhrt l1l. f.do.l i.BuhioE r.a!dm8 ubaro mo{l ,. nol &pliabl. b rh! prold
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P{raplDrain 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
<br />Final Gas Test
<br />Meter Release
<br />FINAL /0/t{/t7 ''QlV
<br />Notes, Remarks, Etc
<br />M \WP51\P6m!l.3p..ton ForndPlumbng-h.p.cror Rl(Drd.4E
<br />APPROVALS COMMENTS
<br />.8,.4-ll-f{$qa&nt-
<br />-, -' /41
<br />rad thil rppliotDn !d r. {ut tlE .bo@ i.fdotbi ir @.r.c I rsr* ro ooply wr[ .ll Cry .!d Co@ryrru rdrtna !o tuldst @drifuq ai lE.by rulra,.9r...d.!E olUE Cly.!i Coulty ro.ds
<br />L uloil,z
<br />POOUSPA
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