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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pi ping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Pi ptng I 4 Pkto"t *p
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line I j 't,)*{p<L a$
<br />QnE P/L{tr,rr/L€ at<a 'tlzlzr-t b A/Y)n*&a
<br />Miscellineous
<br />Gas Service
<br />Lawn Sprinkler
<br />5 anitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL q \\,ut,^-l ?t?
<br />Notes, BFmarks, Etc.
<br />4""120, avicrtryr>
<br />lr
<br />An6,rs AtoVtt {vb 6r,i- D AtlPC\-
<br />OWNEf, AUIII'F,T I'EIJCATATION
<br />I hRby .trrn ui(b Frt, of Fi'!y rltd I m 6mtx non rh. colnrldoa t.i.oE lrw ft'r E folloeiia t@tr (Se.?o]rl ,
<br />BuitB d Prclahn Cd.|: An, Ci, or Carr, $itt r6$rt6 I Fni ro c.irna:l !nd. tnFor? d.oolih d iiFn hy
<br />nt&rc,,iir ro art i!ue...L. r.qun6 rn +rlkor tusl'Fn r ro 6l r tir!.d rrd'r, $ihor lEi [.qE d F,ur
<br />lo llE ForirirE ol E Csnk,i Lirrud tt* (CtuF6 9, Connftin, $th S6lio ,000 ot Divilioi 3 .f rh. Bui'a 6d
<br />Prof*i.N Cod.) d th.r lr or !l* i ddpr rh6.6oE sd rlE t5ir tu rh. dh.d ddnFbn AIy vnhbr ols<rbn ,01 I t b lny
<br />!r?lk fl ror r Fin $hjd! rlE !!?!i.. ro. cir,rp@tyorm| hoE rhd nv. hotr&.d &,llar(1500).
<br />I, d iM6 ofrh. pNFry.6 ny dplota *irh *t6 e rlEi -k (EFG.bn [i[& rh.6t rddrnrEG..!l
<br />h.'&d c ofii.d h rb (sc.7o{,1. &!iE .d lrlGrie Cod.: IE Collr-idr LkG4 rry &6 d qly ro E .w or
<br />rh. FsFry *lb bilil q iqroq $aor.d *ho &d adr $dt hnelrfi h.tltd rltrlud, hir d lE Nn <+hr6.
<br />Foviidlna trh i'!!oE r!&dird,oE!dltr.l..l(,lbllE,0thildinrdinpmEEnir.ld*ahiimld
<br />of@dl.L&a E o.G &tilb $i[ liE t hrdd olpot dr.lE d.n dn lnl h,ildd ingDr.tuF.rdry ii$.Fr!.Gof
<br />l. a o{ffi.rrh< F Fny, m 6.tun ilt..nlEdins n ! l,.ded.onrdim kr.odtu.l
<br />'lE tmrd {sd 7o{.1. &6itB
<br />t d Plo6str cod. 'l h. (..ntalor'r l.ids l.* (tB mr lrlob r. d on tr. of nroD.n! $ to buil& or impro\6 lhddi.
<br />.id rhn o.rMr (, !!.i Frjds $nh r (.n6brlr) ltd<i rnBd ro rlr (t' raroriLi(.El^,
<br />I m.rmr, un&r s<rio. ,lt & P( rorrhur.en
<br />l)r.. (rinr
<br />lr0af,E85!(]llllEN,lAIIO!
<br />DICIAAAI,lats
<br />I lE.t, rmm uhd.r Fllrr'or tEtur! on.oarh. tolhsms &(lurr'oB
<br />Ih,v.rnNllmrir.'ni(.nilic.or(onrdrr0Sclr.lNur.f(rn'orld@6Fa.iir(6Fnrid.rlfo.trsarhnl7morrlr
<br />I .h{ Co&- for ilE FftEIm .a rlE n Gt lu snth rlE Fmn b i$.d
<br />Ih.rndUll@ilnlinqo,tdcontBdirn6u6m..6i.quir.d1')S.d'onl70oofrh.Iihor(od..to,rhFrnil1e..r
<br />th. s.rk for shah rhir F6ir i! is.d Mr- *'0116 corFlrFn ierNc cdir ad Frlr, tumh., a.
<br />PolicrNumti laF6
<br />l.di[ rlu rrh. Ftuux. of rlE $orlm \fikfi rhB Fmi r l$'En.l ih.llmr mph].nr p6v,n in lnymurd
<br />s, a ro tBre rubj.<r ro thc * ortn' coftFsrion |.tr nfa.lifomn. rln lBr rh if! .uld l!$m $t*tt 'orlrrlrtd snFsnrn F\ rF6 .l s.nion lTlx, ol rlr l ikr ( o<le l {Ell- Ionhl nt ood) $ nh tho. F)vaioa
<br />o!(.sc i! unL*tuL rrl drll $bi.d a oryL,ts lo simd Frrir Dd
<br />(l. in ..!nbn i. rla cor ol comFEeid drntg6 a tto\id.d for lh.
<br />to-t5-t i ttic-,q Ltlq.)l"itC_
<br />I hct6! rm un&r Futy of Fjury rhd I m ti.qE d urd6 Folnhn.f (]uprd 9 {@nfu(ins pnh S.<rion 7000) of Diyilbn l
<br />ol ilE B6iB,'d PiDftlilB Cod.. !n mt lt.4 it n tul foE .d.fild
<br />'^"it#i bltqle
<br />5co# /F.L:te
<br />! hadr, rrEtl ur& !d ty of Firyrh rirt i..dErir ldr i.:, br li.Fn ffi or6.rdt t rti.t6iFDi I
<br />iEd (Sc. 109r, Civ. C.).
<br />Lqr&'r r,I.E
<br />afrtl(axfDllcld8Aua!
<br />I hlrdill,fm un&r F!t) of FJu,r oft ofrh. folhsi.s d.rk nB
<br />I).moliri.n lsfirgAttErG Ndifiorilr Fcj.fll R.8uhiB (Ink ro. Pd(l
<br />Rcq!t.d l..ua of Ndifrnhn
<br />I 6ify lhi !l|t Ld,.l E{drbB ltardi.a 6.rd @r.J F d Slirbk to !li! FbFr
<br />2G .-,4,- , f ,- ,r. ar.d. rn ri. rr. rr. !to$ inronnrbn i 6trcl I q,c ro ondy rnh ch, 'nd county
<br />odr'.r6.ri(s!# t { Ehir ro hrldq c6irru.rioi. rn hd*t rrbrn EF..nric ofrhn ciy.d cooly lo da l{or rlE
<br />.k.---J*.d"E ;*--*
<br />".,-,,-r(.,.',,r -LD ; lL efr L;|7)hifL
<br />Water Service
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