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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS ottNuta lrUll_DuI{ DEL(AR,\ noN
<br />I hcrchy rlnn r dcr r^-nshy r)f pcuury rh.r I in cn ry linnr ihc Conlr&lon l,i..n{ tis tur rh( f,)lhsir8,.asn lsc.TolllI
<br />Buvncsl nnd Pn',snutr (-,xlcr Any Ciy or Counry rnicn rcquir.\ r F-n ir k, .ondnd, llrcr. lnPrtrc. Jcm,lnh or ropf,tr rny
<br />i\\uanc.-rlv,rcqunc\rhcrnrhcrnrntr\uchIl(rnrirkilrlcn!3ncd\ruicnrnr rhi lr.r\h. t\ h..nrcd fuMnr
<br />r, rh. fn)v'\i,nr ul rh. Coit!.6 r Lnrtr\L{ ljB (Chu cr9. (innEnr g qirh S.cloi l(XD of Diri\ion I ol ihc Busincs ,nd
<br />Prolal\n,tr\CodcrorrhnrlEorslf,i\ucnrplrhcrcriomrnJrhchr\i\turrh.allcsMcrcnDrion.Atryriohri{,noISccri,)i7lr.1l5hyriy
<br />r,'pli.rnrl.tr u p.rarii ruhjLil\ rhc sppli[nri, rci!ilI}cnrlryofior nnc rh$ hv. hundrcd dollar\(St(r))
<br />-1.
<br />s owmr of rh. ImFny. n my c,,plor$r snh w!s.r !s rh.n sh @n{E.dion. wi[ d., lhc wt lrd th. smdw ir mr
<br />i cixlcd or oficEn for slc (56 70,u. ausiEs md Prclc$rrni CdL TlE Co r.rr\ LLrnE L.* drB mt .pPly lo o ormr of
<br />rh. p,rrdry st6 toildl or iipm6llrr[ .rn *h dc uh htl hituclf or tEr$lf or rhmugh his or lE. oqn cmploy.6,
<br />pDvl!.d rlEt sn.h inl,rmdr N ml iddi.d n ofiaEd for sl.. l( lnM,llE hildins or i,tIeEmn' ir sld wnhin oft )@
<br />ofsrplcri,n. rtE O*F Buitti wiu IEE tlE hrdoi 6fpNvin* lh{ h. or shc dn d bild or itr+mE d! thtEl, ft llE prPocol
<br />-1.
<br />&s orrcr of tlE FDrEny, d cr.luriv.ly .onr&rinC {nh li(.rd tunlmloF to mn(dcr rh. Fnj.cl (S{. 7{x4. Burim(
<br />,d Ertsrh Cod.: Thc Conrr&ror'r Li.cns. k* d.$ nor rprly ro o 6wmr oI pro!.ny vho builds or inprotr rnc(o..
<br />rin who onrn rs for ch pmFds wilt r Conlrdodr) IiLrnen pu.sunl lo lh. Co .xror'r Lttns trw).
<br />-l
<br />dh cicn'fl r.dd Serio A & P.C. forlhk rc&$n.
<br />II}Bf,EIN:ST'TINIAIAN
<br />DACIJIAtrO!
<br />I hcEhy !flirm un&t ncmlty or p€riur] oe ofrlE folk *ins d6LBrhnrl
<br />lhnvcrrl wrllnriInin r(enit-Err.olC,'n{nrn, Sc]l ltr\urc fi, uork.^' $nD.n\ar ion. n! ritridcd ftn hySctri(r l7(x}olrh.
<br />tjtxtr Qrlc. foi rh. rcrl.nrN. olrhe qok li)r *hich rhc p(nrir N rsucJ
<br />-l
<br />hlrc ond sillmlinr.in uorkc^ conpcnsorion inixr r., ar rcquncd by Sdtion l?uo of tlE Llhor Code. n, rh. Ffmmh-.c ol
<br />rhc aoik lm Bhth lhisF.mil is isu.rl Mrworrdf con,r.n\rr
<br />-l.cnifrrh,|
<br />inrh. p.rt rmftcofth. wort for whththh Frhil it issocd- I rhsu ft,l.rlll)loya.rFmn inrnynumr
<br />s (r.h..om bFr ro rlE solts onpcn!.|ion lcsr ol C&liacmi!, an t !8@ rh[l ir I shold tE otu slbl*l ro 'trwork6 Nr{Enslion potsioBofSerion lT00ofrh. ljk C.d..l ilEll. fdlhwilhmr{'ly *ilt rhoc ptr,ririon...
<br />WARNING Fsilurc !D surc mrk s .onp.nsdion .orc88. ic utrluwtul. ,nd ihrll rubJ..r an .m,rbrr lo siminll IEDhir r.d
<br />.iil nncl ut 16 oft hundrcn rhou{nd dolln (Slm.(tD}. in.ddiltn lo rhc cosr otonqEnstrion. drm8.s rs lrovncd ,6r lhc
<br />to
<br />lll.tl..l&u[
<br />Ih.rchyrffiflnund.rp.trdlrtofFrjuryrhlrI r licDrdund.r Isniri, olChrl.r9(comnf,nc$!srlhSccri).?lxx)roiD'!Ai($.1
<br />ol lhc Busirc\\JnJ hofc$i{nnCndt, Mil ry ltctr{ r\ trr tulltuftt inJcllirr
<br />&I r;le
<br />QXSIAT]UIONTJNDINq.AA}:III
<br />I h.r.hy rinnr utul$ |{ntrlrIofncrjLtry rhll rhcre i\ i on\lniurnn bnJin! rlr'f,! nt rhc tti,dnuNc ol rh. torl nt qhich rhi\ rinrit (
<br />i\sucd (Sc. 1097. Civ C )
<br />dItulaNlDEtll&Illa!
<br />I lrnhyrfiimundcr pctrtrlry ott^-.r]x( oft ol rhc lnlk'wint rlLrl[lrktrr\:
<br />Itnr'lirkr Pcnnir\ A\E({o\ Norin.ii(r FcJcBl Rcgulrri{'n\ fl lr.l(). Plnh)
<br />-Rcqutcl
<br />lrllcrolNoril riOn
<br />I .dify rhd rhc rcdcral E8llariotrs ESardins rstE\roi rcmtal m nor dp/i.!bk ro lhis Imrd.
<br />-l
<br />ccnify rhrr I h.ve .Dd rhir applbdrio. r,n {.r. ihrl !h. rtoh infomlion B corrc.1 I lEc lo otqly wirh tll Cily lnd County
<br />ordinlnc.r ond srorc liBs Ebtiry ro t{iklin3 .on\rrucrn,
<br />atx,w mnri,n.d potrcdy for inspcl
<br />ApDlicrtrl o. Alcnl Sirn"lu(:
<br />az_
<br />:"vry:rtv*
<br />UNDER GROUND
<br />Waste & Vent 7-L l,n I
<br />Water-Underfloor \Al tt4t7 4 ,w
<br />I
<br />Buildino Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rouqh Plumbinq
<br />Final Gas Test
<br />Meter Release t')//s/t/ ,q'1
<br />Notes, Remarks, Etc. "l t r l/
<br />...,-"D(
<br />L.ftlc.s Nrm'-
<br />I 111.1 . J'1 ...
<br />Gas-Underfloor
<br />Roof Drain
<br />Gas Service
<br />FINAL
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