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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS Ou6'A!ild.. D@k rti6
<br />I h@ty rflim undd p.ndty of pdjorr Ost I e.xnpl fm tc Cor&tors' Lic6& L!, fft 6. follain8 Edor ka.70l I 5 8si!*
<br />sd P.of*ior Co&): Ary City d CM!, *hicl rcquirB . p.mn lo contEucl. .lr.r. improv!, .tdmlbh d rcP8ir dy 31tu tu .. Prior ro iE
<br />is6cq.lF Equic d!..rplicar ftr,Eh Fnnro 6lc. ri8r.d lraat th.r h. o, rt! i5 li@i.d purut to thc Prcvilim oflh.
<br />CMfi.rd! Licaed L5* (Ch.pta 9, cm,nqrci.S with scctin ?0oo of Divirio 3 ol0! Buind &d Prcf@iw cod!) or th.I hc d
<br />lhc k a.mpl $dcftoo ud li. bsri, fa d'. .llc8cd .xdprio6 .A.y violldon of Setion 701I 5 by ay tlPlior fd t p.mn slbj.cE thc
<br />applicet to a civil p.ndly of nd trc tha fiv. hu&!d dollrt (t500).
<br />_1,6 omd of tlE Fop.rty, or hy dployG with wss6 a $.i. sol. mp.Nalion, will do dr. *ot* ed tl. tslclc is .or iitodcd
<br />q ofcEd fm ial. ( 56.7044, Bcina ed Prcfdion, Co&: Tn. Cdn dor\ Li@F taw doB nor .pply io & oMc oa th. prop.rty
<br />vno huil& or imFov6 rhd6n, ed *no d6 {cn wtrt him!.lf or hd.lf s rhd8h hh ( h.r ow. .mploy6, Fovid.d lllar &ch
<br />improvmd, e not intndcd o o,fucd tu s.l. If, h@!vc,
<br />'n.
<br />b!ild,.B or inprcv@ot is sold wirhin on. yd oas,mpl.tion, $.
<br />OMd-Buildd vill havc dc burdo of rrcving {l.' h. tr sh€ not build or i provc for thc p!rp6. or 5.1.).
<br />_1, s omd oi th? prcpsty, M dclBiv.ly conE&rirg vilh lic6lcd connido6 ro c@struc. ln. pDjcl ( Se. 7044. B6inei d
<br />lbfdio Codc: Tt. ConE!.rd's Licauc tlw .106 nor rpply ro 4 omd of prcp.ny wl'o blildr o isp.ove th.l@ , Dd who
<br />c6ti&E lor such projcc!! enn a C@tr&b(, li@3.d prR@r ro thc Conrulo.s LieB. Law )
<br />_t m qdpr mdd S.did
<br />IAB{EBICOMIENSAUA!.DNCLABAIq!
<br />I hd.by allim udlr p..atry of polury on. of lh. followinS d4l&.rioc:
<br />_l harc ed will m.inEi". Carificlr. ofcorsdl b SdfJniw for *ork6 compcnsati@, s ptovidd fs by S6tion 3700ofthr
<br />hbo. codc, rd fic pdfdl@c. of lhc wdk for ehich tn. pmn ir i$u.d
<br />21hav. ud*rll mnhn w6lft @mFns.iron insur&c., s Equtqd by Scclion lTOo ot lhc Labo Codc. lor th. prfomocc oi th.
<br />*ort lor which $is pmn i! isru.d My wort6 comFNarion insurecc cdid dd policy nlobcr e.
<br />==777.
<br />Policy Nmbd:_Erpir6:
<br />(nrir r@rio ned lol b. ceplct d if th. pmn i! ld On. h6&d dolld (l l0o) d lqd
<br />_l c.diry L\.t in d. pdaomd@ of thc wor* for whi.h .his Fmn is i$ucd. I shall nol mploy ay p6on in sy mdnd i. d lo
<br />b.@c aubj@! o ln. wtrL6 cmpds.rion l.w or calirnh, dd age $ar if I thould br..n lubjer ro rh. wo*.E
<br />@npd!.rion prcvisioB of S..tio. 1?00 oa rn. Lald Cod., I !hdr:.ll{!qd conpl, wigjblqc pr@bi6!\1..-. a.r.k W
<br />WARNING: Failu. ro t@rc vort@' cadFnlldd @v.rag. i3 unla*tul, ud sh.ll .ubj.d u @doyn ro dinin.l p.rrlrie ud civil
<br />nnd up io o.. hu.!r!.l rholed rbue ($ 100.000),ii ldditiM lo lhc co.1 of @hp63.tiM. drm!3B a Fovid.d ad .hc Sed@ 30'76 ol
<br />rt'. I-.bq C.d., inrt'6t dd orlmg's L6.
<br />ucllllLcqNrEac1aES-DEeuB IIo4
<br />I h@by sflim unda p.rdty of pclury thd I e li@.d udd FDvirioi of Charr.r 9 (@maciie *ilh Seti6 ,000) ol Uviiio I of
<br />Ih. BGitrd 6d ProfBi@ co<t , ad ny li.dsc k i, tull fd@ sd .fl6r.
<br />Li@.!.clss: Liene Numb.r
<br />CONSTRUCfION Lf,NDING AGENCY
<br />I hcrcby.afie u.Lrpaalry ofpdjuryth.I thdc i! 3 6isEucnd l6di.g agacy fd rh.p.rfm c.ofln.wortforwni.h0 itEmiri!
<br />isu.d(s.c 1097,civ C)
<br />APPLICANT'S DECLAIATTON
<br />Dmolido rmiB-Atbdls Notili.{ion !.dcr.l &.sul.rioo! (Tid.40. P&r 6)
<br />_ R.q!ir.d L.tt6 of No6liclti6
<br />_I €niry $ th. f!d.61 R€d.d@ Etadins abdlc movd & iot ry?liclblc to rhi! Fojct.
<br />-_ I.ariry d l h.E ud du eDlici'6 ud tl!& thd lnc $ov. infon ion i!.dr..l I lg@ 1o.mply witt all ci9 ed County
<br />ordinmc 6d $!lG l,u eldna to bsildili dr.Eucti@, .ftIhcnby &lndia rcprMr.riv6 of $i! Cny ud C@ y loala !16 tb.
<br />28-o.;,Oe V..-
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<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 />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing ErD ItT,lrl
<br />Final Gas Test
<br />Meter Release FEB O I 20t9
<br />FINAL :w, 556, 661
<br />Ez-.,"C)
<br />Lrnd6! Ad.t6r. _
<br />Misc
<br />Gas Service
<br />Notes, Remarks, Etc.
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