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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.Oma-Builda D..lard@
<br />I h@by !fim @d.. pa.lry of prjqry th.l I d dnpt fm th. C6E cd Lic..r. hw fq$.lollwingBd (ic 701L5 Bqi.4
<br />ud Prcferion cod.) Aiy City r CNty whi.h.!quir6 . p4nil to c@Euct 0116. imprcv.. dcnolish d E?u any sEu€ts., Fd lo il5
<br />isucc, .l5o Equic d'. +pli6t fd 3ucl pdrin io filc s iitllc.l iur.m@t lilr h. d shc i! li.tucd p!R@l to th. lDviti@ of thc
<br />Cotodor'i Lic.n4d Law (Ch.,tlr 9, c@cina {i$ setio ,000 of Divition 3 ol rh. Buin6c ad ProfBsio! Cod.) ot th.t h. d
<br />sh. i! d6B ln@46 ed ln. bBi la th. .,l.scd .rhFi6 .Any violltid of S..ti@ 701 I 5 by ey lPPlior 16 a P.m( 3ubje& th.
<br />.pplic r b . civil padty of noi h@ llla fivG hud..d dolle (lr0o)
<br />_1. d oM6 of lll. Fop6ty, or hy dploy.6 eirh erg6 a th.h sol. c@Fro:1i6, wiu & th. wdl l,d dt lElctrt tu nol intdd.d
<br />or otr rd fd 16l. ( Sa.704.. Buind ud Prcf6li6r Cod.r tlr Conm.Lrt Li.ai. hv d.e nol .pply lo e qnq of ih. Pmp.ny
<br />vno buil<ts d ihFovd thc!6, ed who do6 tuch eort hielf 6 h6.lf 6 .trouSh nk a fia om .inployc6, Foviald thc tch
<br />improv@al' e nor inrd&d d ofia.d f6 t.l. I( howdd, tlc buildiDs or imptuv.hdt ii sold within dc y@ of cmplaio, O!
<br />oMd-Bqjldd *illh.v. th.bun!, ofprcvi.s$ hcoBh.nd buitd dihprovd forthcplrp6c of$lc)
<br />_1. a om6 of rhc p.opaty, m .xcluiv.ly @E&iing wirh lic6r.d 6ita.i6 ro @ss!d thc prcjd ( S.c 7044, Buin6 ad
<br />Prcf@id codq Th. Co.l'.dd'r Licle lrw d6 nor ,pply to { oud of Fo?.n, who b!il6 6 imFovd $.@n , dd sho
<br />cot8.r. for $ch prcj4u wirh r c!iE&ro(, lic. .d Pa@t to lhc csi@tor'. Licd. Ltw.}
<br />-l
<br />d 4atpt ud.( S.cii@ .8. & P.C, fd lhis Bd
<br />\{Oi.KETS COMTENSATION DECLANANON
<br />I hd.ny a,lim un.td pd.lv of pdjury onc of thc lollowi.s del.'!!N
<br />_l h!v. ed will nairhin . Cqdfio& of CoNat to S!lf-l$u. for wortcE' .6pcBador, a Fovid.! fr by Scdjon l?oo of{t.
<br />Labor Cod., fd lhc pcrfme@ ott. w6t rd qni.h lhc pahn b ii$cd.
<br />/.l h.v. Md wrllm.inbin sorr6 @mp6s&q rNufuei s Equn d by Scdon lrOO of th. Labq Codc, for dic p.rfomea of thc
<br />*o.t aor which th pmi ii k .d. My wdi6' cmpcnr ion iBuaE cnio ed policy nunbc, ar.r
<br />Policy Nmb6-Exp,t6:
<br />( nlk r..tion Dc.d nor bc.olipldcd ifth. p6mll i! fd On hu.d.cd dolla, 13100) or le)
<br />_l .qtit lhd i. thc prfmma of ln. wort lor which this Fmil is isu.4 I sh.ll nol 6ploy {y ,6on in 4y !m..r to q to
<br />bde. iubi..t lo drc s6r6 ' c@p@!niq l.s of cdirmia Dd ,sre $or it I lltodd b.c@. !!bj!ct to th! wod(6'
<br />.spc6lrion pr.visid of s.crin 3?00 ofrhc Lrld cod.. I rhdl, fcuwidt co":ply *idr rhG. Provisions
<br />5
<br />WARNING Faild to lccw q6k6' colrpcrsrid @v6.t. h uluful. ed utdl slblet u .dPloytt ro oiniid pa'.lri6 &.1 civil
<br />fin6 W b o. hud'.d lll@$d &llc (l lo0,00o),i. lddnid to rhc c61 of @nF$.ri@, dM.ss 6 p.ovi&d fa ln. Send 1076 of
<br />thc L.b6 cod., inEr.3r rnd dron.y', fc6.
<br />IJCENSED CONTR CTORS DECLAf, ATION
<br />I h@by sfrm Bda p.n.lt, of pcrjuy th.r I sn llco)5.d l)n.ta Fovind ol Ch.9td e (@citr8 widr S.cli@ 7000) oa Divtio 3 of
<br />0!G B8indt ed Prcfdi@ Cod!, sd ry li@& i! i. tull fde ed .fdr
<br />1/-2A-a.-
<br />CONSTRUCTION LENDING AGENCY
<br />I hd.by aflim udd Fn.hy of p.qlry tnat $e is . .oiiEudim lodins ri6cy ld lh. p.rfomMcc of thc work fd lhich this P.drl u
<br />issu.d (Scc 1097, Civ C.)
<br />Af PLICANT'S DECLAIATTON
<br />D.molito lmirFalbqro5 Noti6.!1i6 FcdEsl Brtlltlitu (Tid. 40, P{t 6)
<br />_ R.qdrcd knd of Notilicdio
<br />_l cqtiry 0l.l !n. flddl Erxlrti@ G8l.djrs sb.ns @v.l !r! f,or r+plic$lc ro d'i3 Fojct.
<br />- I cadry dE I hrE Eld rhi. 4plic.ti@ ud 'br. 6a rhc .bovc infmajo h corc.t I .8@ to @ply with .ll City ud County
<br />odil.lB &d Sr{. t:q El.tila to bsildins cdEtuclim. sd t..!by !!$oria Epnro'rrrivc of d'ii City &d Cosry ro 6r., up(,r lhc
<br />abov. malioncd prop.rty
<br />.rpptior *Si[,/Lzx--<(g'ql
<br />UNDER GROUNO
<br />Waste & Vent
<br />Water-U nderfloor
<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 />Ptrap/Drain Line
<br />Main Drain/Pool Piping
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />EATI \Er.,
<br />Rough Plumbing EtrD A l ,nto
<br />Final Gas Test
<br />Meter Release SAMC {r-43, 2 90. 55€, 66'
<br />FINAL
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />Fill Line/Back Flow
<br />Back Flow Device
<br />L.-
<br />fT
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