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PLUMBING.INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATE
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under lloor
<br />Gas-Underfloor
<br />Buildi Sewer
<br />Area/Storm Drain
<br />r/ Clarif ierlnterc
<br />TOP OUT
<br />Waste & Vent
<br />Water Pi n
<br />Roof Drain
<br />Tub/Shower Test
<br />Rou h Water Heater
<br />POOL/SPA
<br />P-r Drain Line
<br />Ivlain Drain/Pool Pi n
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn rinkler
<br />SeweriSanita
<br />Back Flow Device
<br />r(h PlumbinB
<br />Final Gas Test
<br />Meter Release
<br />FINAL
<br />Notes Remarks Etc.
<br />I hcrct y lmrn undci pcMhy of Friury ihal
<br />gusincss r ! Pmfc$ion Cod.)r Anv Cilv or
<br />OWNER BTlII,DTJR DT]I,CARATION
<br />I an mmrr r'on rtrc Cmmrdi Ltcn{ t-rs ftr rlE n,ll,qi'rg rca{r lsctrT0rl 5
<br />Cou y wni.h rcqun.\ r pcrnrir t' connrud. nlrcr. improvc. dcrFli\h or tB'ir rn!
<br />dru.rurc. priorl(' ill hsu,trcc- ol$ tcqut.s thc 0!/icr ntrsu.h llcrn h n[ I siEncd illcftnr r[ hcor \hc is liccnsd tur tnr
<br />ro lh. F;vnions ollt* Contn rors Lic.nscd tjw lchaPlcr 9. Coontn.ins *irh s'crion 7m0 of Divisbn 3 ofrh Burincs Dnd
<br />Prorc*trnsCodr,o,rharh.o.shchcic'nflth.r.fromaftlrhcb!\L\f.rthcallcecdcxcmPlion.Anvvi'lllionofselionT0lltbv'nv
<br />tpli€unl lor apcn t subjLrls lh. aPlli.rnl lo ! civ il Nntrx y or noi nnrc rhm fivc hundr.d dollm l$5m)
<br />ttNl.^""*r.r,t"nn,,.ny..!m).mnlortc(*rh*slcsNrhdn$homncn\rrioneillthltr*(tkrrlrhcnndEi\mrehd m ofitrcd tu k rsa 7Or4. susincss and t\or.s\ions Codc: thc ConrNlor's t-tcns tir docs nor '!plv to ui '$rcr o{
<br />rhcnnr ay wrh huilds or impn)vcs lhcrn. a wln des srch qrrh himscll or hcnclr or lhmugh hn or h'r o*n cmplovccs'
<br />po*idcd rid .h impturcnr.b m ft i,rcndci o. o,rcred tbr {h Il ho*c\d rh. t{ildins ot inqnrcmd k $ld wilhin onc r{
<br />;r6npkrbn. rnc o*n( Buiklcr willhnw rhc bordcn of,n lins thtri ltorshcdid nor build or impnrw l}{ lmFnv ror rrE Puqns or
<br />-1.
<br />!r o*fti ol rhc pnrp{ny. ,rh cxclusivcly conr,.r inB wirh liccnd contud.^ t, .onstrud lhe pnrr"r (S( 7014 Br\incs
<br />ui p*ri..;n C.4", rr'" Cnn,,s.ktr s Li.cnsc li* dfts nor lIlllv r. an ownd.lptoPcnv who huilds or nnpmvcs rhcreoi'
<br />trnd Rho conrrdch lor such Pmjccr\ wirh r Gntr0clo(r lEns.d plrsualllorhc ConlEcl{,\ Lk'nsc Lrsr
<br />_l am crcmp! und.r Sccl
<br />wonKr.tls' (:ol!IPENSAT()N
<br />DECI.ATAII!]N
<br />I hcrcb, aliirmundcr pcosliy of,'cd!ry onc ofrh. followins dcchrurn,ns:
<br />lharcedwillroinr.in!C.nirrrl.ofconsnlrosclr-lnsurclorwo,kEJmnll..erii'n!'pmvidcdrorbtSrtion]1700ofrhc
<br />Lihor Codc. for rnc p.rromDtrcc ofrhc m* fo. which rhc n 'nir h issucd
<br />-t n!v. nnd will nEinuin qo.k tr cotrqEnsdio. iBuotrcc. as tquircd bv Sccr i6n r70O ot thc Lrhor Codc' lor $' FlYformmc or
<br />rhc work ror *hth lhh ri.nnir Ls istucd. M, wolk6 omp.n\arion insurarcc cnif a,ld poltv nun$'r G:
<br />l ,t\il (n'rv rh.t mrhc Err rtu rctfrhc trork ktr which rhispernir h issucd.ldrlltrol cnrplor !'v pcron i'a'v m'trncr
<br />-*.. t"-,* *r,r..i u,,r'" wo ca' .oml.n{rmn btr \ or C ltlaii, ond agm rhd il I thould trco'rc slhj.'r ro rhc
<br />qoik.s.ompcnsaibnp&lisir'trsolSccin l?fir oflhc lf,&r Cdc.I shlll. t)nhNilh conPlv wirhltusc Prnvisions"
<br />I1ARNINCFuilurcrosclrcw.rlct(conPcosnrii,novcmsci\onln{tul.md\h'llsuhtsctrncn{'lortrlooidin'lFulricsaid
<br />cilil ft'cs op ro onc hundrcd lhousdtrd doush ($100.0(x)). in lddirion b lhu cod of'onrtcnslrn'n dlnuscs 's tttovidcd for rhc
<br />S6ri.n :1076 of rhc kh.r Cod., intcE$ and dronhy s res
<br />.\
<br />Lf![NStrItl0Nlnrfl.r0eDIr!]l&lfI()I
<br />ol rhc Ru(iDc$rrd Pr.lc\riors Co,lc, nd nry licctr\u i\ i,r llllh,.c udclitcr
<br />CONSTNTI(ITIoN LI'NDIN(: A(;EN(:Y
<br />lhcEbylnnn|dcrtrnllryorP.ruryrhlrrhs.incooirucri.nkndiiS,Scocvnnrh'P-'li'mnccorrhcNotkforRhichlhnFnnnir
<br />nsucd (Scc.lO9?, Ci! C.l
<br />tindd'3 N@r
<br />-
<br />t ndci\ Addr\r
<br />AIIIICANI-OECI,IBANAN
<br />I hc[{y ifm und( pcnnlly o( n riury otrc of ltc lolldwinS dela6tionr:
<br />Dcmlilion PcrftirsAsb.qros Nolifiqlion F.dcrol RcEOhl ions lTnb '!0 Pdr!6)
<br />R.{|rired lJn(6r Mtifrcu|ion
<br />-l
<br />cdify I hlr rhc ledcnl r.8!hln,ns tg,rdinS .sbcslo\ rcnovrl ,rc aol iplli.ablc Io lhh tFj'tt'
<br />tMcnrIyrh l hr!. rcod thi\ ,fflrdr nn di nrr. rhsr rh. ,bovc inrbrnbtion is cor(l I egm ro odplv wirh all Cnv and Counlv
<br />inrrccslmd srdrc rn*s rctariii;o buildins con(rudioi. tuld hcEby rorhoria rcprc*ndiws ofrhis ciryand coutrr, ro.nrcrurbn rhe
<br />ovc @nrioncd pml]cdyror insFrlion
<br />Appli(nnl or ,\g$l Si8nah'rt
<br />.t7-t(
<br />IEEIEil
<br />Gas Pioinq
<br />i4,1.'tl it|1/b
<br />nlle.lc U'
<br />Us'.
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