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PLUMBING.INSPECTOR RECORD <br />DATE tD/stG.COMMENTS OM6-Buildd D.clrarior <br />I hftby amm un(hl p€,.lry of Fjury !l.l I m q,@Pt fm thc C6'r!Ic Licsc kv fn $. rollowing ,!.s (3e 7ol I 5 BBinBs <br />md Prcfeioi Codc) Aiy City d Csiry {hich r.quira r Fmil to c@ri!c! dtq, iDFov., d.@lish or r.p.ir dy ru!.turc, For ro iG <br />i5r6@, rlio r.quiB lh. .pglidt fd sct Fmn ro filc . .iFGd stltctMl rlrr h d $. i. licfucd psudl to tt. provisions of th. <br />Coioa.rd! Li.6!cd Ls (Ct.p&r 9, Cl)@6cin8 eirh S!.tio 7000 of Dinrid J ot th. BBind a.d lrcf*ioi! Codr) r s\.r hc or <br />shc i! cr6B tndc&h ed 6e bsit rd tho .ll!8.d .xopd@ .Ary violaio ofsc.tion 7031 5 by 6, ipplic&l f6 a pcmt 3ubjccE tlE <br />applisr ro . civil p.nrlty of.ol hoE tha liv. h6&.d dollG ($500) <br />_1, a oMcr orthc F.?c.ry, (f,,y @plqy€ wnh wl8s a $.ar sol. c@pdt$rio., pill & th. worL dd Uc sE@re is iol inLnd.d <br />o.oftq.!fn!tl.{Se704a,Bsin6DdPrcfdidCod!:TicCon!.&td'sLi6!ct,dGnol6pplyto6Mcroathcprop.iy <br />who buildt d ihFota lntu, sd who dG .uch wdt hiN.lf d n6df d lhogn tit d h. @n dploy6, Fovi.Ld rh! su.h <br />imprcvdaB & nor iila.Ld 6 oflad fon 5d.. It hq@a. th. b{ildina d improvoot is sold wnhin oh. y6 of cMpl.tion. 1h. <br />Ownd'Buildd qill h.r. dE bor.hn of proving 6at h. d rhc nor build G nnFov. for th. purpos. oi sl.) <br />_1, d oMd of tt! prop.rty, o lxcl6iv.ly @lrrairg wilh licos.d @,Erh !o cffid rhr proj.cr ( Sd 7044. Bsin6 ud <br />Prcf6ion Cod.: Th. Cont-..16! Lic4. ks dG nor rrlly to u ownd oa pr.r.ny who buil.b s imFov6 rhu@n . sd Fho <br />corra.t' fo such projel! qill.| r cora.rd(r) licdcd pGusr !o ln. conn&r6't Li@3c La*.) <br />_l d qhpr !f,dd Sa on-8.&PC fd$i! @or <br />\TORKERS COMPENSATION DECLARATION <br />I hdcby ailim und.. p.nalty ol Frjury on. of rh. followinS dalsrarions <br />_l h3vc ed eill tuinhin r Cdtifi.tr!.f CoE@r io SclflBuE lor wdtd'. cmpcisdioii 3 provid.d l* by Serio J70o of rh.tdd cod!, ror th. Frfrroe ol$. rqL fdqhid th. pnn,. is.d. <br />_l havc dd eill mintain wd*d' @FNrio insE@, s r.quircd by Selion l?00 of $c Labor Codc. for th. p.rfom&c. of lh. <br />wort ld vhich lni! pcmn ir itlscd. My wo*6 @mFmid6 i.euocc @i6 &d policy nunb.r e. <br />(This scclioi n..d .ot bc comrlct d il lnc pdhil L for On. h6dr.d dolla {l I0o} 6 ls) <br />_lz6nt lhd in lrE psf{ro or dE eat fd *hid rhir pdnn ir 'su.4 IMnc obj6t to dr q6*qr ' @6Frrd@ l.u of c!tif6r, ud as6 lhs 'cmp€.stion provisior of 700 oftnc ktd Cod., I shdl, fdhwith <br />-6 <br />WARNNG f.ilu@ ro iffi wort6' cdp.$ri6 <br />fir6 uD !o onc hlrd&d Ooted.lollB (tl0O.0O0),i. <br />lnc Lrbd Cod.- if,t@l ad .tm.y'r f6 <br />I ho.by ailim 6dd pdalty of Fjury fi.1 I m lic4cd hda povisid of Chsptct <br />th. Busi,G ud Pof6siont Cod., tud nry lic.@ t h full fq@ ed.ffs( <br />o <br />I hcrcby amm unds pd.ty of Fjury llld tr'R i5 a @irElctim <br />issu.d(Sa 1097, Civ C) <br />c of rhc worl fq which rhis ,.mil it <br />A}PLICANT'S DECLAf, ATION <br />D.moliioi PmiB-Arblir6 No{fiedo. F.dcral R.t!l ioi. GitL a0, Pst 6) <br />_ Rqquir.d Larc. ofNo6li..da <br />@mply wi$ .ll City dd Counry <br />of lht Ciry Md Counly ro 6t.r !po. lhc <br />abolc hcnlio.c{i proplny for inrp.crio. <br />I <br />t-/o'. <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 />Tub/Shower Test <br />h Water Heater <br />POOUSPA <br />P{raplDrain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Misc <br />Gas Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Test EXPIREI ) <br />Meter Release <br />FINAL <br />l-F-:{ Il I ZU IU <br />n fl..r'.i ,o^ rr <br />Notes, Remarks, Etc. <br />APPROVALS <br />Roof Drarn <br />Water Service <br />Dll.' O*n <br />.> <br />-T--- <br />I- <br />t--