COMMENTSAPPROVALSDATE
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildino Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipino
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouqh 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 />I
<br />Rouqh Plumbinq alz,rE /L/rn
<br />Final Gas Test
<br />Meter Release
<br />FINAL r2l aLat{1
<br />Notes. Remarks, Etc.
<br />OWNER BUII,DEf, DEI-('ANAfl ON
<br />I h.rch, {ifirfl un&r Fnahy 0f prrllry rhlr I m.rcn{, rNm lh. c)nlr&-loF l,isne li* rd rh. tulh*in8 Elsn (SN n)ll J
<br />Autirc$ !d tn carrrn Cd.r Any CU or Coud!'rhih rdruiEr ! @i ro on<d. rhd, inrmt. &mht or EFn tn,
<br />ntu.Nr., Fsrr' ilr Brud!,.l$ rcrtuiB rlE er,Ilrlnr rrtr $chltmr t,6k. r'8at rl.lcm.l lll!1 lioi rlf, a lk..kl plNnnr
<br />t, rh. Fnision or ft Conrrft'. l-kn<rl t r ((n.l{cr 9. (tImEinr rirt sdr.n 7(r[ or Drvisi,n 1 or rlE Bu$k( rnd
<br />Prolcssn,nr G,t ) or rh,r h. or (rE ir .r.npr rlmrrn dn ltE hrn lo. rlt llb8iri .r.4rbn. Any tioltlion ol S.d nn 7o1 I 5 b, tjry
<br />!,{,lt.nrn! r|tmn {uhFkrlt ornlicr ro rcililr'cu!,oftor' mE rhrb firc hudttn lhuiuritt(xD
<br />_1. s .wE ot rlE FoFnt. d ny .nfloJcr win *r$r & dEi DL @nF .lbtr *iU do ,t rdt rrd dE r^EE b ml
<br />irqi.il d oitrql ir.t (s-.70a4 B!iG' rn F !ftriE c..lc Tlr co|,-rd'r Lhta t &.r Dl @lr lo d .)rE of
<br />0E F.!sr, *lE toil& q ia+rDE oEE t .n ,ho &E rd! rdrl hire[ d hd.lf d rlFutlt lti! d hr om .i?b){.1
<br />Flrit d rt r Et irFlElri G ltr rrad.d (dE d tor nl. lt LtG. dr hlE,t d qi@rrEl t.id,ir'lnc rcolsl'riiE rlr O*E &&a rt[ lrr dE hrtlar oa Fllit dr ll 6 JE dil Er id! d lFoE rlE F!Fr, ft. th Frr.r..a
<br />-1,
<br />!\ .*rcr or r hc In,pcnr. rn .rcto\ir.l, .onrdry r trh licM\'! crnrr(ro^ k' .-Ntur th. fnFl ( h( 7Dt l. Lu.ifts
<br />.dl Prfti\rr (illc Th. Cont-lrr'r I r.nr lrt dx\ nn rmly h d oumr of ,mtm y *lrr huild! or itrI{lrok\ rh.,on,
<br />.nd riD o,r'-l. h. ch Foiltr * h. Coddono l..nrn F rar lodEco .-rc'r Laff hr).
<br />;.qJ?
<br />l]IrrJ&ll&r
<br />I Hry fm o't!.t FEly ot Ft , c ol rlE foll'riry.l.Lr.lirB
<br />-thrEt
<br />drill i.rdr. Cdli6..r. of C.!aloS.U-IlEs6.6tr! 6.!.n dbcd Fovid.d tor try S.criE 3?O oldE
<br />trL. Odq f- tlr F6.ffi of dE rqt 6. r,ti.t tlE FDI a b.d.
<br />J hE.d *ill ni .in m.t6 .o,FNrir iffi. B Eqoi.d byS<rn. lrmof tlE t torco&. fd lll Ff('tlrEol
<br />iE md ro *ikh $n Fmn i! isrd. My iqid s.ittlElion in'ffi ffi.r ]n Fliy ruEbd d:
<br />Polry NuniE. F'PEr:
<br />-l
<br />dnify tt r ii rlr F.6mN ol E rorl fd rnth dfi Fmil h is,.rl I rll.l m dPl6yu, Fmr lne,,ffi
<br />r N b L<ns ql*.r l. dE *rta ortEbrir ls ol Crlilmi. .tn .!r d'i il I rho.ld t-otu otixl lo dt
<br />mrt6 6r{ENtbr pmvtbE of Serhn 1700.f rlE l.t[ Cod.. l ddl fqrhahn odply qfi tlbc Fovltiou
<br />wALNlN(; I $lurc r, {cur. *ork.A ron'ltnl kn, larrfuFc '\ utrhql . rrkl \h.ll n,brrr , cnlpk)yrr n' .rmirhl FNhE\ rrl
<br />.inl fiEt {p r. oE t'odld llDts'n & t lt!d.da!i(! Frvircd 6r lll
<br />?
<br />IIrl\tl\llr)\
<br />I h.at, drm udbr FcEiy of Fju,t th., I rn li.t!.d !'*Lr PDvi.b. olctlFa I 1@@in8 *nh S41iD 7AD of Divirhtr ,
<br />of rh. Bui6 rnd PreG.riE CorL, rn ry Elr ir b tul foR an.fi6!
<br />!q!EB!!:DIAJ&N[{II!iEMT,
<br />I h.,*!y .lfrm ud.r Folry ol Fi,r, lhi lhd! i. r oirtrtib Hit .r4y lh. tt Ffoffi of E wt lor tltih diil Fnr i
<br />iirr.nlS<. 1097. Cir c.,.
<br />aEJllllf[Ecl.Alarllxl
<br />I hE6! drmlidd,. tyofFriur,4 ofrh frllhrinS d.chdionr:
<br />D.mlab. Lrmil^rbci6 taorir.di,n ri&.l iLtxLriB (tlk ilo. hn6,
<br />-R.quiEd
<br />L.rr.! of t{oriaErbn
<br />-l
<br />ccnily thd rlE LrLrl E8lhrion! Eardins r{hl.r lEmv.l e @l .@lh.hh to lli pmFl.
<br />-l
<br />.qrify rhr I lrE rd thi! rppla{bn .rd d.!. !l'd fi. .toE infof,rhn it .1frr. I .!rE lo @tr9ry ,nh .U Cn, nd C.!'fl}
<br />Litl rk(\. rl \r. r lr\\ 'rLtrtru
<br />I
<br />.boE mri,i.il EDFny ld T.**"dnr Cly rd Coex, lo cd6 rFa dr
<br />-,tl- t?-l(
<br />II
<br />I
<br />PLUMBING.INSPECTOR RECORD
<br />ID/SIG.
<br />tlt
<br />I
<br />tl
|