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PLUMBING-INSPECTOR RECORD
<br />ID/SIG.COMMENTSDATE
<br />UNDER GROUND
<br />Waste & Vent
<br />WaterUnder floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area./Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Roof Drain
<br />Tub/Shower Test
<br />Bouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />r9tWilqkia)' Rough Plumbing 7'l'/[7
<br />Final Gas Test
<br />t)Meter Release
<br />()\\\t ta Bt tI.R I .l.( \ll \ t l():l
<br />I hdttt .ltm ri.rr pady of Fit, llEl ! 6.E F nm dE ComIrm Ltte lla fd llE ioltrig llen (S< r0ll'.t
<br />Eurlm. .d Pr.ldi.rn Cod.): Any cly or c@.ty whah GauiB r Fni lo 6dt!cr. !!s. inTrok. d.dni$ d qr' ov'
<br />{ttre. FE r. ir i!ll.c..to.!q,iE lIt +p0.r,* 6r rrn Ftni llt tit. riaxd r&nd d: lt6tlt i ltdt d Frtn
<br />io 0E F!vi.i.,6 ol rh codr-ld.| Lilircd tre (Clqlld 9. Cotnturint *nh s4!in ,0d) of DtuLi'. I 'l lE h iI! 'PtoGsird Cod., d d.r l,t d rlE ir.E S llEdur sn dn hi& fd rt.lttFd.cqrin An, vbtliE olsdbn l0ll 5 br.n,
<br />qrpli.ar ior r Fmd sbiElr tl! {rpti( r m . .ivil Fmlry of Dl mE $d fiw h!.& dolhr {l5o))
<br />-1,.!
<br />o*ffi ofrlE pmFiry. my.n!,lortd wnh m&i(lh.n rlLonlblrid. *i[dt rE rqt rn dE *EnF h tr
<br />iraiE d .tu la .t lsd.rog. Eurir rn EDE(iE C.d.: Tt c.,ri'de'r l&M be da ntr |,plr lo o ow ol
<br />rlE fqEn, *lh baill 6 bWDG dEt r !d lno &6 sn wt hiBl,d lEctf d dtrr{t hir q lE oh.!r?br6.
<br />,n!,iLd rl'{ Mh lrFlEtlriG !| irqd.ddotu 6. -t.lL lDrEc.l,Et! rhadI'tlmmdirDUlttbGFr
<br />ofnphh t|tor/E BuiEE 'iI lrEft hib,of F !!rLlrdli.rdllrhd!di4.ocdrFFry6.lt Flm6a
<br />l. !\ oqrr rl rh. Ir rEny. ufl crcl!\ilrly ..ftr.r m3 *irh li..nwl orrld,F h dn{tu1 llr nnrFl l S( 7(]l{. au{Br
<br />orn h.6.!rn CdL Thc Conr-i({ ! La.n{ ljr dB mr {'r'ly ro !h of, kt .l ptoFnv eh hultl\ .r inqroE\ !h..c.tr.
<br />nnd shu .ontruds ntr su.h |IroFclr * hrGdtu(,nrlacncdnunwrhrh.A, krd'il.entl:*,
<br />Luncrror !tr(l(r s..rnn .ll .!l't htr rhn,.r\nr
<br />Ilrr. ()*r..
<br />laalD8uillrlfj$an0!D[gArlx(A
<br />I rFrlty rnrnundcr I'.n.[yorFjory.Gofth. nnhs'n8 &(hrslnni
<br />-l
<br />ltc !d *lll niit.h. C.nirslc olcorn b s.[.l6e fd 6td @oFtdbc - Foridd 6. brsclbo ]rE of li.
<br />t hr Cod..6. {E rqfmld oalt ritt fd !t&t t Fnn i' hd,.d
<br />-l h.r.d *ill mnx.i. *ort6 64.nidion i@r.tc. .r EquiEd by SElio. Slll0 o( E trbor Codc. for llE p.tfffi ol
<br />rtE rtoil 16 ,tih dt' F n i iilrt M, *dtd omFGtL. iNllN sir .rld Flty D,{n n:
<br />Dolk, tlrtrlbd:-Er[iE!:
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<br />-l
<br />diry rh.i '.llE Frforntc or rlE ro r shi(h rhir Fmi n ii{t{ I !h.ll k .tr{hy lny Fr{ri in .ny nmM
<br />$ N ro trsE !!bF! b irE w,tdi mtrF{r.iion L$ ofcrlitornn. .rn.!N ltd il I rlnuB txnm {hFl L rl'.
<br />sri6 onlEnsrb. Imvirbnr ol S.di,n 17u) of rh. llh, Cdl.. I ll[ll. f.nhwirh on9ly wilh ltsr Povnhn.
<br />WllND.li(i: f.ltE ro qc idt .. @trFDlion omtt k bhetul .d dEI obj.$ d anpldyd io dtdd FEnit $d
<br />civil lE. Ep ro d lairlr.d ltoo.ri .blLr (ll(I).@0). in ..!ni{ ro rlt 6r of otrFdli!.. it rait ! Fwu.d ftr dr
<br />Sariln 1076 orrh Ltlr Cda irtdtn.rn at'ry r t i.
<br />tr.l.: APpllu.l:
<br />t tt.trtsrr, r:rxructoq
<br />lrt( I {n n(lN
<br />Ihrcl,rJfin u ld Fuh! !lrc,rtryrhrr I !n lf,in<lu'xk Frni,nul('hxpt c(!,mnatin! *nh sd!. l(xl)r r, l )i! nion I
<br />or rh.lir!'{s I fnnisi(m\ (inlc. nrl ny lf,rn{ '\ 'n
<br />lull tu( !drln{r
<br />gllds:I8u{:LleDlai.Alildl]l
<br />I h.cb, rm!fl|.r Fr!,orFiE,lld tlEt b..t riclit bndi'C{cyfor lLFfffi of dE wt tt in ndir F ta
<br />ir.rn rs(. lo97- civ c.,
<br />AIAJIIIIIIECI4IAITQU
<br />I d, .ItD !r!d.r FdIy of Firy oE of r,E foll!*in8 &.lri.lirnr:
<br />D.mlftiin Ftrnt*Art id tlorlfrdbn F.d.nl &lrltriE lTlk '{). hn6,
<br />-rlqud
<br />tltts ol Ndedn
<br />-l
<br />.arify rll llt f.d.nl ,.!pLliB ,.t dint dtttu lfud G r .CdtiL lo tft! liojer
<br />-l
<br />.srif, thd I hE lud Ihi qpLda. d n rc ri.l dE *oE hfdnrih. b cdEd. I .Ir to 6r$lt wnh dl Ciy &d CMly
<br />odimE' ri s[r. t *r Etrit ro t ildirS @rfrlErin rn lE!5, ailbit EFsflriF of 6n cn, an crnv to ctla '+oi tlr
<br />rboE mrbi.d FoFnr n,r rE .dir Frpo..i
<br />Appllcrnl or As6l slsn.tuF:
<br />(
<br />Notes Remarks Etc.
<br />FINAL
<br />u
<br />aat@l
<br />APPROVALS
<br />A/qtl41
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