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APPBOVALS DATE tD/stG.COMMENTS (}WNET AUII.DEN DH,CARATION <br />I trEh, .lrirm u.dd p{Mh! rl F irry lh, I d .r.rin rNm ltE C.drxlo6 Laft* Ls ntr E (nlo}ins t!t$. fsc 70ll 5 <br />aunft* r.d l\.Gshn (.n.1 Any Cir, or Ciury *nih rcquft* r Fmi ro co.<ul. .lra, nqnotc- &DlFh nr EFn ..y <br />{rudw.Iirnronr isrodr. ih. Eq!t.( E {'pl[ ntr ik_h,xmn lo fiL. ltEd {d.m.r rhi lEorrlE ir limtn tlxlur <br />b rrr pmtnrni of r Conlrslr'r Li.rned li* ((lEprs 9. (onmrr8 wilh S.clion 7(I[ or Drliri,n 1ol'rE Burift(.nn <br />Pmf.(inn Cod.r.i rh.r h.,r {E iidcn{i rh.Ermm!,n r& hun\ L, tlr llLsld.i.ririn An, thldiln ol scii'n 7ol I 5 b! rn, <br />!rpl(!n for ! Fdn ohj.rh rh. andic.nr to ! dv il Fmhy of fl'l B)rc rh@ avc hlndErt ddllm ( $m) <br />-t. <br />ar 6 olrtr FoFrr,6 n, crrt'br6,nh rt66tt lr slotrp.mrbc wilt& tIEwtrd dE dr6ft it tur <br />iraiLd d oGld fd .l tsc.r().4 Butr Dd Fto& c.rL: Th. C.drr,ld i Li@ L* .16 rol ryly lr, & oga of <br />dE F arrylE lu'Bl c ntgt6 iE&o id rtb il6 rdr rir.l nirlrqlErll d tlr dhidlEomcqbF( <br />FoviLd lt.r sn !,gsBdrc d. had.drdE d tu rt. l[ I'oEE,ltr ht&tdiry.Ec.d i-ld Illfioll ]r <br />ol.q!"rrbtrrhOrc E{iUa ri[ lrr tlELrtlaro,FDtlitu lidir & d U!d il+* It FnFrt fo. dE FrP. oa <br />-1. <br />! olE of d. F!!diy. m rch.iEly @d.rrfu wnh t .N.d contrxrd io oBUrEl dt Fnitl (Sd, 7044. Aaii.. <br />.d lbi! CorL: TIE Co,rErd r Lifr L, &.r lbl Tglr lo. ffi olFopary rtE i.lld, t iPtDB {Eo. <br />sd aho @dr..r.forsl F!ir1! wltt rc.6r.ro(,ll6cd Fdu. lollE C.ar*rof! LklE t *). <br />-l <br />n.\. ,pr und.. S.c @+"1/ 21 /g <br />i.]I!LrB,!Il: <br />I hL,,ri\ .1r trr tr,,1., r\ .nr\ { FrrLtr\,' x Li I '. r,ll{ r! ,..1, , r, I <br />-lllE!dsill <br />ilui.lICd1i,icr.ofcdi.tnloS.!r.ld@f(6r'ooF..lbr3F,viLdfdb,Selb.3rdofllt <br />L-&.Cldo lurlEdft. Gof lt. wt &, riit tFEil i ifrd <br />-l <br />cnify dd h tl! Florm6 of rlE rort tur lltt rhb Frn n i$Ed I ilr[ m. ciPh, 6, Fstr h d, tuF <br />. d ro baoc sbi.r b llt Erd'@rq.6dbn L*r ofc.liromi^ .rn {r rtr llt si ld bcod n&i.! ioIIE <br />m 6 @f,Frn i.hFDviri'B olsdris-17@of rlE t tErC.dG.l dr[ fodnrihonqlyrailtE FovtbB. <br />n urh*tu|. .d .rdr obFl e .f,ploF lo oimin l Frllr.d <br />.ivil frr up ro d tud,.d 0s-d .tll,.E (ll00 ,. Ir r.ldli'6 ro $. on of @nFBlid! .Ld|!. u FDvilcd fq IE <br />Sdr[n .l{,76 ol rhc lrlltrOxlc,tL^eV'2t' <br />Ih.nhy rntmunld JrMlry.lIE.Jur, rh l !m liehsrl undcr ln,rh6. rl Chlrrcr 9 lco'htukin8 { dh S..r hn 7(IX,r nI l)iriri'n .l <br />of rh. SurB$ rrld hr'li(r r (irrc- .ri my I...{ r in lnll lur ml .U(t <br />qolsltliqult.l4D0lcJiqql <br />t lEb, .nkb d*, Fnl, ol Friry dr rlEt a . oiotlin bnit .tc, for tlE pd6irc 6f 0E Bt 6r ,lid dtl Fd a <br />isld (sa. 1097. clv. c,) <br />AIIIJCAII.DTT]JTAIIA <br />I ffiy dfm uid.. pddry of p6i!, oE of 0! folbelnr.|fLt lbr!: <br />D.6lni'n P.mir-Arb.rd l{orlnc.lir Fta.nl R.trllIbn. flnb /n. Pr.i6, <br />-R6qri!d <br />lrlla o, Nodnciin <br />-l <br />diay rt r rh. ftdGrl r,rrbrad c,rdi.B aSd6 lEmv.l G tul +Pli..DL ro $ir FoF <br />-l <br />sriry rL l lrE it rl da .9plt li6 d n& tu dE r6oE i66irrir i. dEl, I {r to dlt <br />o'd L' !r. rtrtl\L r I r{\ tulx! oL 1",l,h a, \!nI[kr L{.,trN] hrlLr,v.'urli,,r'rt),.nl,( re\!l rl'^( r! <br />.!oB mrNd I'oFny <br />Appliunl.. A*al Skul <br />(/r^A>rt D.,,r-4M <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Buildinq Sewer <br />Area,/Storm Drain <br />lnterceptor/ Clarif ier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Piping <br />Boof Drain <br />Tub/Shower Test <br />Rouoh 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 />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Rouqh Plumbinq <br />Final Gas Test <br />Meter Release Iilbilk I '/]tv.t/1,lct-I t'-Notes, Remarks, Etc <br />PLUM BING.INSPECTOR RECORD <br />Back Flow Device <br />FINAL <br />I <br />__r_-_t <br />-r-------1