|
PLUMBING-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />UNDEB GROUND
<br />Waste & Vent t ooa \rl I a^l/
<br />Water-Under floor ut
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT I - L,;>
<br />Waste & Vent w)r :ffi iv-,+a,*, .r ft,/t1
<br />Water Pi I
<br />((
<br />Gas Piping
<br />Rool Drain
<br />Tub/Shower Test
<br />RouOh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />lVain 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 />Rough Plumbinq
<br />Final Gas Test
<br />Meter Belease A.
<br />FINAL l-q-tt
<br />No s Remarks tc
<br />I clth{,kk,1...tu lr, ,fu7)
<br />I a-/
<br />-1.
<br />a otF of llE FDFlr, a n, c,qbF! xitt r.!d a lh.| Dl @iF.rlrioE *O & tn. rut .n tn. rtldEr i! dr
<br />ar.tidl d.ilrd lb .l. (Sd.r0{rL BBiB !n Aotuldm C.d.: trE Cqrda. LkaE (,r &6 d +1, b o ow ol
<br />tL FqE y r,tr hiLtr d i,FN tnoqa.,n *tE.tG ei El liEf or hElrd lktru'h hir r tB oo."?t rs.provild tlu rEh intmElrlr E,D. iladd aolhld fr rt IL lb*c. dE hddat 6 iqrbvmfl ir eld *idin or )d.rf.oEltbo. tlE Ord A{iild *g lrE rh hda ofFotr d: lt d ir dd ma ba d irylE !E FlFry h dr Frpc of
<br />-I.
<br />a oaB of tlr FoFr, d d.lr.iEl, oi[aii', *irh licrEd .offi6 to 6tFld rlE Fljcr (56. 7l}44, BEilr
<br />.tn hlEir C.d.: IlE Codr-rq t Litc lr* .tB hr .Cql, lo d orG of FDFi, *ho toildr d IIT.DB dE@lr
<br />.,rd rl'o o'rrIri ta id! FoFlr rln . CdrrIl to li$.n F!!d lorlrcodrrd r t&r L.r,
<br />-l
<br />d.r.npr ud.r Sarh.-. B. & P c l rhis ae.
<br />E0af,!8trtilMEEltAlloN
<br />IIECIdTAII']!
<br />I lEE6, .,rum mdci FE[y or lorury oc of rlt rolbrru &.k .ri'N:
<br />l h,vctr'rl s'll unno'nr(cn'lilrrcof(inNdnrSrllltr\urcnrtrolkcr\..,,nr.nsari( .!\r,(,etrlcdltrhvSe.rnilT(x)dlrhc
<br />ItrtrrC(rk, nn rh. psn,'N^-.olrh. *r,l|,tr rhrh rlr tsrnn ! au.d
<br />I hrl c r l *,ll runllm *orlc.. .oltEn{llrn insur!tuc. !r ntln.d hy Sel xr .1Ix) ol lh. trlE Orl., n, th Frfomlac or
<br />utrr r ,..tr11 N1\ sLtrr,'\
<br />o
<br />ftflbo 54/L ,{- ZC- ?0 I g
<br />_l (ddt rtur,n rh. r*rr.rtutuc of rhc *orl r(n rhxh rhi\ Frn h n$.d.I (h.ll nn .rqrk,y .n, FFrn rn.ny'Mx.
<br />q, s h lE$m .uhF..-r l. lhe tr o*d{ mmJ*.r.tmn b$r of Calirornrl .rd lEN rhd rI I \h)uki h(r,nr sohFr h rlE*.rlc tunlf,nsrio. nnlv$i,.r ol Scttn lrlroorth( ljhtr C,iL.l {sll, hdheirh.\nrll}ly qrrh ihF pb!n$n\
<br />llALNlN(; 1.tr'lurc r' attrr. ro,l(h'...rt{.\Jrknr.o\oJ8. r\ unL'slul. n'ri \hxll {rhr.r M r l)k,rtr r' Lrnn rlFr'lrF rid
<br />,h, rrd. -ts"*, " h,l",'.i^';:", " i";;:'i;ii--^#,r.t fl,,.*,--*ffi*
<br />I ha*, .ttlr uC Frly ol Fi4 lb I m r..d o& Fotibo ol6$a 9 (.@iia r|lt S6rb. 7G)) ol Dhri.b. ,
<br />of llE BuiB .nd PoftfiB Cod.. .!d n, lire L In tul foG !n .ft.r.
<br />B ?4
<br />,n 9'/3- Z. /7
<br />srNstxll:Ilr.lNrl:NDlliri-&{irNrr
<br />I h.(.hyilltmufticr Irnlhv frrr]!.trho!rh.E$!co(ru.rirlttrdi'rta!.ryktrrh.tnnrnBR...onh.f,orlri,$hi.hrhnImrir!
<br />N{kdrs( lorT (ir ( l
<br /> PPI iC NA NTI]I AN]TTT(IN
<br />Ih.dry!,tim!d.r FMhy ofrrrlryorc ol llE followr.I rk Lnrnn.
<br />I).Brlirbn P.rmr-Artt(or Ndifr.rin FdLhl R.tubrr$(Tirk a{1, Pd6l
<br />R.qutrd l.crrcr.l f*'riaEelh,
<br />-l
<br />crirt dr uE iled c8rlIi.E rd.nlint .ibc{d .tfuql E Dt .ptli.!l to tlii troi<!
<br />l..nilyrhd I h*r r(r,lrhi\ rltlicrrk,nrfrl{,r.rhll rh. !h)vc innfluiotr n..md l!rr.!lo.otrlnlyri,hrll(irtrRl(,ndy
<br />onl .uk.\r'rlsr..l.'tr.o hrildng .ord,tni^ rn hmb, r'nhoria EF!*nriq ol tnir Ciry .,n Cdny b ors
<br />'potr
<br />tlr
<br />.lxlE Erixd FDpcfl, fd
<br />Appli(.nl or i!.rt Sl*DluF ='*rl 7 A.osA er ,", $ /,--zo t8
<br />5r[t6[
<br />5
<br />-<a
<br />DATE
<br /><-
<br />I
<br />Back Flow Device
<br />I
<br />I-LI
<br />-+
<br />w qu
|