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PLUMBING.INSPECTOR RECORD
<br />DATE tD/stG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<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 />ExPll (ED
<br />Rough Plumbing
<br />Final Gas Test l-hH tl I l[:3
<br />Meter Release
<br />FINAL
<br />Notes, Remarks, Etc.
<br />otu-ElildE Dclnrio
<br />I h*by dfim @d.r Fr.lty orFiE, d!.t I h q@l roE thc CoE .ron' U.d. bw fd rhc folldin8 ilam (8.7031.5 Bwina,
<br />!l(t PEfa.id Cod.): Any City a Cdnry whicl r.quiB r Fmir ro 6!Eler, .lrd, itrDrcv., dcoolth o. r.r.t dy tEel'E, Fi6 ro ir3
<br />ir@., do rcqliE lh. .ppli@r fq ut Fmn b 6b..i8r.d !t!la@t 0!rlh.d rh. i.licdcd Fller 6 dt. Flvilid of tic
<br />CoE .ld't Li@&d lrw (O!T.a q ContM{ing *irh s.aid 7000 of Divi.id I of 0!c BsilE &d Proldid Cod.) 6Ihd h. d
<br />rh. h qGmF d!@t@ Dd rh. bai. fa lh. dl.gcd qenptja .Ary Eolllql o{ 5ai6 7031.5 by D, qli6t fo. ! Fni subjc.l! th!
<br />{plic&r to r civil pady of n(. re ih6 f!. b6.Ld .lolld (1500).
<br />_1, c omd of dE F!'pdty,6 ny 6d.y6 wilt *.8d a lh.ir el. cqnFlrrio, will d.ln. wdk ad lh.8m.r'@ ir n.t inrqdld
<br />q .fd.d fa 6.1. ( Se 70a4, Buir6 3id Protsitu C.&: Thc Cdn&l6'r Lico& L:w rb6 !d .prly b s omd of th. Fopdiy
<br />eho b{jl& G imF.v6 rhtu, 6rt who rL6 ral, wort hirelf d hdlf d thrcu,i his d ha @n aplor..!. psvid.d th8t Bu.h
<br />imp.o@E e nor inEndc{ 6 oficld fd sl.. li tN.6, th. buildint d ihFDt!fur n rou rirhin 6c ,@ of cornptlrid\ dE
<br />oEr6-Build.i will h!rc thc bin&r of Fovia8 $!l hc d rh. ror bojld d imrroE fd th. purF* or !rl.)
<br />_1, . oMd of $c F.pcny, 6 dcluivdy @n@dta *ith licd.d @Le1d io c@rul d. prcjcd ( Se. ?04a, Buin6 dd
<br />Pbf6i@ cod.: Th. cdn&ro.t Licae lr? r,06 nor qDly ro 6 om6 of F!?aq sto b!il& 6 imFIrc otq@ . ad ,ho
<br />@rat fd 3Et Foj-r! ,irh . cdE&rd(!) Iiffi.d pu6r ro 1[. cdln.rd'3 Uc.M tn.).
<br />_I @ q6l ed.. Setim _,8 & P C. fcrnir l..6.
<br />EOEAEB&COI&ENIAIqN,.DECIdBANAN
<br />I hdb, .nim uda FElry of Fj!ry 6r of lh. follaina .Lcl.di@:
<br />_I hrE &d willmin$in. c.nific!. o{Cd!@r ro s.lll.!e fd dt6'cmpquaid, B Fovirt d fc by SEd6l?oo of lnc
<br />t bacod., fortn Ffol@eoflt wdt fswhicn d.Fhni5 i*u.d
<br />_l h.v. dd will tuinidn,.d6' Mpa&ti6 iMc., a EqciEd b, SG.ti6l70o of thc Llbor Cod., 16 0'G Ffofue oa$!
<br />w6t t6 whid llb Fnit I i$u.d My *!(Ier!' c6p@sti@ illillfl@ 6ir dd policy nmbd e:
<br />Policy N@b.r:_Erpir6:
<br />(Thi! r@rim ...d nor b. cohplct d il1h. Fhn i ftr O.. hundr.d dolls {t l0O} or 16)
<br />_l cqiif, lh.! in th. Ffcle@ of lh. wdt fa wl ch rhi. ,Emir i! isu.d, I rlsll nd mploy hy Fd in &y mrr e 6 ro
<br />belr rubj*r to d!. wdLd qrpcrorl@ Ie of Cdif@i., ed.gE lhrr if I lhodd bdm $bj.a b tn. watd'
<br />cmFrlatid Fovisid of s..,id l?00 of dE t$d Cod., ! !hdl, fodlsilh @mply wilh thG. Fwisi@..
<br />f-zz,/o,4
<br />wAf,NI]IG: rlile to rce *dt@' .epqEdd @rd!8c i! @l.wtul, od 5h.ll rubj.q e cnp!.rq !o qiniul F .lri6 &d civil
<br />fic l4 !o w n@.hd rh@d dollE (tlm,Ooo).in !.ldiri@ ro rn. @t of 6rF !.ri@, daDalr ! Fwid.d f6 O. Sc1i6 1076 of
<br />d. Lddc.d., i d6t Dd !ndncy'3 fd.
<br />LICENSEI' CONAIACToRS Df, CLARATION
<br />I hdb, lffm Ddn pddty of Fjury th, I 6 licd.d undn Fovijd of Orfl6 9 (colllMdry vith sdioi ?000) of Divi5i6 , of
<br />|Ilc BBi.d ed Prctei@ Codc, ed ny li@. b in full a@ a.l Gfa6r
<br />Licdc Cle, Licdc Nmbd
<br />4--za-/-.3
<br />CONSTTUCTIOT LENDING ACEIICY
<br />I !.r!!, .6fr Eda prtnt, 6f pdj6, dl,l t[c n r dut!.rid ladinl rary fa li. FfdrE.. of thc wt fd *nicrr ln! F nir n
<br />i.rd (S€. 309?, Cir. C.).
<br />AIIIJCAEII.DECIAAAAON
<br />Damlirid PmiE-A.b€rd Norifiodo Fcda.t R.suhrid (Tirlc ao, lGl 6)
<br />_Rcquird t ad ofNolifiod@
<br />_l erdfy lhlr thc fcdd.l rauladm Elading ab6Is ffiovd e iol .pplicdl. !o rhh projel
<br />_ I c6dfy lnd I t.v. rsd lhi5 .ppliclrim ed sld. tnal $. .bov. infqhltie i! .et 1 I 3gB !o cmpl, vi$ dl City &d Coury
<br />sdim6 ed Stn trw! al.riDi robuildinS@anudid, ed hfrbyurhdirrcF66miv6 of lnis cir, edco yioor.ruFolh.
<br />.hov. ffirtucd FoFty td i F.1iotr pc.pd6.
<br />Word\wDs1\Foms\Pemil oms 03.31.06
<br />APPROVALS
<br />Area/Storm Drain
<br />POOUSPA
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