PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT ll w#Water Piping $l vn'Jltr ?frtH'
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release n/-
<br />FINAL
<br />Notes, Remarks, Etc
<br />OWNEf, EUILDIT T'f, IJCAT TrcN
<br />ti+Iryrl[mu,nnD?dtyolD6i,ylhdI6.r.!'l6ssrEconr*rdLk.clrrftr{Eirlou!lmn(san!t.t
<br />Buiiffi .,td lE&dnn Cod.) Ao, Cry o. Co,ry ,itn ,q{iE . rEhi lo 6.lnar. .h6. itrF.DE rLmlth 6r qu .ny
<br />{ru.!r. rs ro ir. iqm. .L E+E rlr +dE-r 6. Mn Fnn io 6L..qrd nimr drr lr ot !h. ! ldtrcd !!E{r
<br />ro rll. Foviiird of tl! Cdnddi Li6d L.w (Clqrd 9. Gffi'nt tih S..rnn 7m0 nf D'vron I nf llt Blltrlg .!i
<br />PnrEtud Co&) d ln.r h. a dE n a.rrl d!4frDm .d rn h.rii for rlr .llc8.d .r.npI.r Any virbirn of S.dbn m! I J ry uy
<br />.Fu..n t,. Fht! rbFr rlE .[Dlio!x ro t orlp.tuly of d mE t,$ Iiv. hlrH doll-.ll!0]
<br />-t.
<br />! .'16 of E l,s,,Gny. or hy cneloF. l[h w.SB ! 0t5 DL @trpqlJia oiu dr (t q* rn ih rt'dE . El
<br />,rait d dolH in.L lsc.loaa. Eui,B {d Pm&rid Cdd. r1i CdrEad. Litr Lrt dEd t tio eoffi6f
<br />rl!. ti{Fry rl5 hi,& d r,!rb6 dEoa rn wb &E rdr trqt tidlf d lE-lln lll dr nir d hd (fi ctBbF.1
<br />,mvid.d rl Mh rqoEffilr&tuiian ddofitd ird. tt lrre. dt hultt dirp.Gr.r i.nSrit GlE
<br />nt6tt!ki,\ tlr OwE Etig6 s[ liE Ur hrddr ofFsn t tl.. h.6tE dn td lrild d.!FDE dr Frrdty t 0E FlFEol
<br />-1.
<br />owdoatLFlfaiy. m*![iwl,6ddrl rnn lE Ed onrt-&dl. o ruci rlE FoFt (Sk.7ol,l, Bu.dE
<br />rri PtDtrah Co.L: 1 h. Co n l( r Lt.E bt &- lm +pl, lo e oa6 6f Firxny tiF blitd, ot 'nprc6 $.mt\
<br />..d wlh otrrxi. ix uh t&Ffi oih . Co,lBrq, liEr.d puREi lo llx Cqfi.crd! LrlG L,s)
<br />I h.ktrd u,r& s..rrn ,B a?c tulhrllsn
<br />O.r.' Onr
<br />s!Ef,tEs_c@l!!!A:Il0!ltgrJlAlroN
<br />I haray .lIm olda rEly otrcrly c ofdE &llrrt! .lrbrbD:
<br />-l
<br />h.E d n[ d!r.h . C€tlf.rc of Cocr !o S.lf.lUE 6. wl4 @49o!.tiol\ ! Fovit d $r by Sclh ]rltr of llt
<br />t-&. Cod., &' rE Ftrlrc onlE Et 6r rt.t tlE Fhn r i. .d
<br />-.&68 in s mrrlr 6tri 6'9cr.r.i r J,u.. ! '!q{id bys.dih !7m oftE rr6o.Co&, brlr Fiddo,
<br />rtE wrt h. *tf,h rlx tEE, i trtu d. M, tutd' 6nt a{r,on rnffi. trit rn Fli.y NrrlE E'
<br />\xtr,ea-"Qs.i-z\
<br />-l
<br />diry rhri r rlE Ftlt:r6d ot tll &rt tx shrh lh! Frr i. 6{.d- I rldl rn drPby !ry tEh 6 !r, ffi
<br />n * ro lt@ft obFr lo 0E uutd oEp.i.dE.lrs of Cdi5hi.' rn tgt r,r rll tilLt b.d)m.bFd 16 tlE
<br />srid' onjp.Ndir. tmvti. ofs.dbn rr@ofdr L.ld C.d..l til &nlrih6!rr!lytih lLEprovn.B..
<br />rlanlilnc latuE ro r.6 wiari' o,p.6inn mMa. ir ohwtul. .!d th.ll $bFl 5 dttloF &r omd F-ti. ad
<br />.isl 6B 'D ro d ttui(H rhou,n doll6 (tl00.ul0), in .ddilDn l. UE or .f 6tFrrli,l\ &,rsE a FttiLd tu rh.
<br />\1,,,, ir:6,,1 ljt l.'h, ( !,Ll( it'.n.n!.rL!,( \ r(r.
<br />-'?9-Lo 11 )93! \-u-
<br />uctltlDlotruagla
<br />ITCIIEAIIA!
<br />I h...rry .fun ud.r Fn ry of Fi!r, dlrl I 6 li.rGl un 16 Frvi.il! of ChTla 9 (ffiiir trt S.din 70ml of DniM l
<br />of rh. BlltllB .d fmt-ioo cod., 5d n, li.d i. in tu[ irc rd.ftc!
<br />3 655ffi
<br />*'zct-z-a ,-*.,.' \Jcc> \\JC-
<br />clNslaucua!.,lJuuc-a0Elcr
<br />I lEElry llrrm ud.r Folry of Fily th.l IIIF it. odnEl m lddnc rrtry for E psIolME of rh. srt hr *tEt rhir Fnn i!
<br />\{'(lr\.c 1rD7.(^ ( l
<br />ATIIICATI.IIICTJATIIi}!
<br />LEtty.ffrn u,!&. ll.rlly of Fp.y o* .I llE t t,i!s <!nlt.lm
<br />t .mlti,. Pd6fi ,t lEsoi r*ifr.'irn f.dcEl l.rlLl Dn! (l nl. a0. td6)
<br />_!,.slird Lard of t{dif.rir
<br />-t(lriryrhdifu6
<br />lnrotli cr.dlu rb.ror ,!m!rl e 6l +pliru. ro Oi !.!j.d.
<br />lft-&r,ry rrr r lno ,oa ,r,' lp, Erbn dn 'Id. rhrl dE .lbE l6i.! ih bo.'Ea IlcEro dpl, 'in dl c.yrn cdlry
<br />ndtul6 'nd shr. tlra Ehrmg ro hu
<br />.hrr nhtnEd pnrr.nY tor nrtrdNn
<br />o.ntudiErd helty.rdDiEEFC TiGollhirCayrdC@lylo.ritr+dlh.
<br /> pD[..n] o. At.nl Slrr.ruFl 8-79'Lo
<br />ufifr'ti!444t@za
<br />+
<br />Gas-Underfloor
<br />Waste & Vent *
<br />Gas Service
<br />Back Flow Device
<br />)(ado
|