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PLU M BI t'IG-I NSPECTOR RECO RD
<br />DATE ID/SIG.COMMENTS Own.r'Auild.r occhr!riotr
<br />I h.'.by rf,i6 und.' p.n.lr, ol lErury fiat t anr o.mpi fo'm rh? (rontet 6 LEcnsc l-r* h rh. rollo$ iris tos.n leic 70l l 5 Atrsin.$
<br />atrd Prof.$io. Cod.) Aiy CiryorCounrt w[ichr.quir.s a pcnni[oconnrucr..lr.r. inrJnovc. d.nrolish o',cpinhv5rrucruE. n'iorru n5
<br />rsuincc. aho r.quir* rhcapphcatrr ror such p.mrl ro nlc asrgn.d alcmcnr rhith.orshc is |icnscd PtrBuanr roth.povu,on!oathc
<br />Conraclofs Lic.nicd Luw (Chafl., o. Conmcncrne wnh S?crion 70oo ol Divi5ron l.ad. Bu$D.ss rnd,r'of.$'ons Co,l.)o' rll.l h. dr
<br />shc 6.xch rhci.from and r,r bsir ls th. lllcs.d.rcmprion any violdt'n of S.cli$ 70rr s by ,.pP|can' for i Emrir subj*s rh.
<br />,pplrcant ro.civilpcnahy ol irn nbr.lhnn fiv. hundr.d doll.8 (i500)
<br />-1.8
<br />owr.roa$c r.op.ny, or ny.mrloy..s wnh w,g.s s th.tr rol. co.rp.nsliior. w'lldo rhc wo'l ind th. n'uddr. i! nor itrrcnd.'l
<br />or ofTc' cd rs t!1. { S.c 7orr4. susin.s ud Prcf.$ions Codc Th. Conr&ror's Li&n& Lr* dGs nor apply ro o|tr.rofrh.prot n,
<br />who L\ild! or implor! rh.r.oi. and who dols $rch worL hnnsclforhcs.llor rhrou8h Iis or ncr own.mplo]c.s, p,ovld.d rld such
<br />rnruo(m.nc ar. nor inr.nd.d (tr offcrcd tur!rl. ll howcr.r. rn. buildrnsor 'mtro!.'ncnr r sold rnhir on. y.ar 6t .odpl.hon rh.
<br />Ow!.r auildcr willhav. thr btrd.D orp'oving rl,at 1[ or nrc nor huild or improvc io, n,. ptrrro$ olsalc)
<br />_1,sown.roflhcpolBdy,rm.xclusivcl,cotrt3crinsvilhliccns.dconroctorsrocon rucrrhc olccl (S.c ?0'14 !r0!tr.smd
<br />Proi.ssio. Codc Thc Cotrhdofs Liccnlc Llv dG nor.pplr ro u own., or p,opcny who bu'lds d rnrpro!.s th.rco.. atrd wl'o
<br />co.rnc6 for sch proj.cB wrrhoCoil.eto(d lic.n*d pusu! rorhcConrictois Liccnsc Lrq )
<br />-lJm
<br />d.m und.r S.crid(
<br />-- -,8
<br />& PC lorr[k Baon
<br />\\'oRri f,fts (.()N1nINs
<br />I h.r.by amm undrFnlhy ofpsjury oic ol$c follo*ins d..la6int
<br />_lh!v.rndwillmaintrio:Ccnificat.ofCons.nltoS.li'lnrui.aor*orkrs'cohp.nsnrion a pbvidc! ior bvSecuonl?00orih.
<br />Labor Cod..lor$. pd fomscc orth.,ork fo, *hich ih. pcmnl is issu.d
<br />lhi\.d d*rlLnrri rLi worko\' .onrpuninon Nur!nc.. s 'c.lur.d by s.rnfi 170r)ol rlr. LaL,o' (.d.. tu r[. p.,n]m[n.. ofrl,.
<br />wo'k for wh'ch rhE Nmnr B $u.d Mt*olkos np.n rion nsurmc.crflrcr dpolrcyf0mbc' tr'.
<br />(ThGs.crio. h.ed nor b. ampld.d iflhc r)cmil is torOi. hu0drcddoll s ilr00lorlc$)
<br />/(.nfy rh m rhc !E fomr\. or Ih. qo'l f ,' *\Ll' rlns p.'rir tr sJcJ. l
<br />ha(!m.$Dl*rrorh.wo*6 corp.nrJr'or'alsoiCrl'nmi,.rndiCr..lhlrr
<br />compcisitioi prorisioN ofSccrion 1700 ofln. L&d Cod..l sh.ll. iorllwih
<br />-2.+ -o __^rpticll=
<br />$ RNIN(; Fr ltr'c 10 r.co.1v.rkcrs' (rlxfuifotr mvcrrgc:
<br />I ho.by.flimund.rp.naltyorpcruryrh l6li@ns.doidqprclriororchlofi
<br />tht Busin6s.nd Prof6shs Cod...id my licciic h in rull rorc. rnd dt cr
<br />NI-
<br />I h.'.by affim und.r pcnahy oflrcrurf rh.r ihc.c is ! consrudnt l.ndirg a!$cy Lr r(nrnlfcc.t(h. so'I fu wh,.h rlns 0c'n!r rs
<br />ksucdlsc. 3097,Cir C)
<br />,\ttLt( AN ls Dt:( t-aR.\1t()N
<br />D.nrolirio. Pc'mnsAsbcnc Norificarion lj.d.rrl R.Aularions('lirl.40. FMo)
<br />_ Rrqur.d L.fl.r ofNnrificaioa
<br />-r:,thrr $c rcd..rlEsulnriotrr rcSirdiD8 sbsros
<br />rhlr I hlvc rcod rh6 lpplicaron,nd s lomrly wi!h ill Clrlnnd C,runry
<br />drdi|anDcs lnd Srak LrNs Blanns b burldinS
<br />ovc m.mio..d pro|,ciy for insp.dion
<br />Pcm,rrccumc(rnnr) *
<br />ris Crrynrd County toctrt.' ur,u lh.
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing EXP!I IED
<br />Final Gas Test
<br />Meter Release FFN N I ^ltg
<br />FINAL EAln o'+J' d
<br />Notes, Remarks, Etc
<br />APPROVALS
<br />Erpirc!
<br />finB up ro 6nc hundr.d $o@nd dollds (l l0o.0o0),in nddnim
<br />rh. LrborCo&. inrcc lnd auoo.y 5 fE
<br />^$/4ezp l-
<br />-."',,,',.,",)-
<br />trndcrr Addi6t
<br />nnr'-, * "royl1 )444L
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