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PLUMBING.INSPECTOR RECORD <br />APPROVALS ID/SIG.COMMENTS <br />UNDEB GROUND <br />Waste & Vent nlr\r4 <]4{6 ) <br />WaterUnder Iloor t <br />Gas-Underlloor <br />Buildinq Sewer <br />Areeu/Storm Drain <br />lnterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />Water Pi ptng <br />Gas Pipinq rr\:\ t4 /J.45fr ) <br />Roof Drain <br />Tub/Shower Test r\z\14 ,ua4(t 4) <br />Rough Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipino <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 />Rough Plumbinq \\'1\\7 ./ua@l <br />Final Gas Test lJ-t't 1 3/aa+ Z) <br />Meter Release <br />FINAL z4t'9 IZC,<r^tr ;tas 2') <br />Noteq, Remarks, Etc. <br />(,WNET AUTT.DLA DEL(ARATION <br />I h.rcbr lrtiln hdcr ltnrny {,f pcriory rhlr I m.rmrr rn,m rhc Conr(n,F l.k.n< llq lor rrr l.lhwinr (ag,n rs.c m.ll.5 <br />Itu{i..is ent l'rotci{hn C.xlr Any Cn, or Coudy wh.h ktutr \ r Fni t, co.{u!. ir6, ,mlin"., d.mil"h (n ,qrn My <br />(MM, Frtr h n\ numc, rls rc!!iE\ rh. rJl0lasr (tr r!.h,Ermit !' tik. nSEd {gl.mnl lt{ lE or rlE 6 lic..{n ,urur <br />kr rlE pn ^i,nt or rlE Conrxtr\ Litnrn l,* (Ctulis 9. ConErri * h Sftrr,{ ,(XX) of Dtrtrr{ .l ot rE BunFn .ril <br />Pr csiniadL)orrhd lEorrlE k.rc.{, rhcrcfi.m {d rh. t'.$ fir rlr rlLt.d.rcnplx,n Any violrtb. ul Sdnn 70.11 thydn, <br />lFt icud fttr, p.rnil $hl.(u rh. rmlicanl ti odivilFnrhy.rnot mn.'hrn ny. hundr.d dolhrs(ltml <br />_1.aorcof E F?dry.d 6,.npbF! sln rt!6a rlEt ildrivdrbl! ?iU& rt r ndi0Eo!EEimr <br />ilqi.d doturd fo. rL(S..,0{d BuliF &d ProtriDcod. Th.C.dt-la tlile t ?&..rddyloaorco, <br />tlEFtFly {lB hriler q il+ m dEe rn rb &6 !d twn iiclt d h.r.f c 0roal t! d h6 om crqlorq <br />Fovikn rh.r {,.n !r+ro6rd. E bl iraid dolE d 6r rl,l( lffi. rE hrldi! m idTr@rn nddwSDG JE <br />oronpk io[ tL Orm Blild aU h.E d! hIrho ofFrtt dlr li n rL dld dr hrild 6 blrow dr FlFry 6r dE Flpor ol <br />'rl \hL, i,n,ri\k!!nhlrtrr.(r\11lhr(itr rr trr\r11.'^.(ltu,r'.tr h,r1r{itr '.k(tr'\l'..n\.1.$r <br />;:,Jii&: <br />lltilLl&IIAI <br />I hrcbyrllnru .r n('ulr) ul p.tjuryotuol ih( <br />-l <br />h.E.n,lI nid.b. Cdrif..rc dcffir ro S.ll-ltfu l' 6td onV6idl\ B FoliLd lo. b, S.<rirn ]70 of dr <br />Lrs Cod.. fq llt Frl,ffi of rh wl ld rttn EFnn iisEd <br />_l h.r.nd will mit ri. worl6 otrFnirli'n inrlJle, .. Equi,r{ by S<rnn l7m olrlE t bor Cod.,ld iE pdfffi of <br />rlt wl ld tnth rhir Fni ii icld My idt6' cfF rhn iffi 6in -d pola, Dnt r e: <br />_l .diify dll in rlE F !.lae oloE dt fd shtt lni! Fmt i] iicd. I irll Dr .qt y e, p6s in D, tlllE <br />i 8lo b{iE obF io rlE lvqta @rFtlrbn hsof Cdifdi.,n {c rhr ill rlE ! lEnm dbFt to tlE <br />m.t6'@drpcutionFovi'bn!olserionl?mofdEt a6. C.dc. l rhll tonnsnh otrplr *i$ Dr FDvtbni <br />{bFr u sr9loF ro 6hnnd Frri. rnd <br />ontn'!.ri'l! d.,irllt B Frtil.d 6. rlE(Ml 68 !p lo e lor'ln rnoEd .tillar (ll(o.uD), i! ndibr ro rE <br />VwtY <br />I h.r.try rrm und.r pdrny or Firy Fovi'ir of Cr'+|d 9 tffilq wni S<rbn ?@, ol D irbrl <br />ol rhr Inhr.s)nrl I,,,!lr$kitr(,i[.,nl'r l'.rn{ tr nrrll,Ltr.rx'il.ll(r <br />l{ui.uBu{:rul!..LEDAti.tqllll <br />I H,t rrTln u.dc. F..lry (t Firy |hd rlrr il r on{u1ion bnh! .rcr-y tor rlE FrtrtlEe! or rrE wl nr whrh rhir Fmi t <br />nrsn rsd lDr. cir. c r <br />affrrlr!.\fl)lj(La.8allllli <br />I trn{ry rtltD unrl., p.uli} ol FUur! om ot rh. n'llorrnS,L(l!r!rin\ <br />l)<mliri)n i.n.ir!A\tEn.. Ndificurirn lqr.rrl R.8uhri' r ( r'r1.4). I\d6r <br />RqurcJ lriiool Mnfiitnr <br />-l <br />ccnify lhd llE Ldcal rcElLlio.r E8rdint NlErlx rcn$v.l!E n,l urTlrrhb l{,lhi\ pn'Jcd <br />nrk rhrlrh( xhr. tr,lon,Ltrkr, '\.onrcr Inlrrt,r. lll]$ hill(-irtrftl(i{!nr <br />ikr of rhi! Cnl In Cdlny lo .rid rlbtr d! <br />-,.3-/L1/ <br />DATE <br />--]_----J