|
DATE ID/SIG.COMMENTS
<br />UNDER GROUNN
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area./Storm Drain
<br />I nterceplor/ Clarif ier
<br />TOP OUT
<br />Wasle & Vent
<br />Water Pipinq v \b\t.t Lfi bC7
<br />Gas Pipinq
<br />Rool Drain
<br />Tub/Shower Test
<br />Rouqh Water Healer
<br />POOL/SPA
<br />Plrap/Drain Line
<br />Main Drain/Pool Pipino
<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 />Rough Plumbing
<br />Fanal Gas Test
<br />Meter Release tl
<br />FINAL ao yN 0(n$ a't
<br />Notes Remarks, Etc.
<br />(rwNEx tutl-lrP.t t ud^talloN
<br />I lErby rltlo uds pcDly ol F,lry rh. I d rk,$ tm llE (]ldridr' tllc llr ftr rh. blloql! I..q (Irq m]l 5
<br />BurB! rn Plofcsbn (-dc, A.v C., or C@nt vhEh E{cE I Fni ro .oid_ s. ir?roE. d:tutiitJl rqr, !r!
<br />rM@, FE r. ilr fl.L.. rl- Ri{r6 rl! erltd fttr trfi Fnr b iL . rt'd d.nd rh.t ll q iE ! lirBn t{s'*
<br />ro rlE Fuvubd ot rtE C6rtu roar Lk.n!.d r:! (C'lqi., 0. Co'nmEitr. wirh Scshn ,lm d Div'.irn ! ul rlt 8u*B .nd
<br />PbLci,N Co{c) G rlEr lr or irx ! cr.rpt th.r rcrn.d thc b.rar lnr ltr rllcgod cr.trpltn Antrh! ion of sdr)r ToI jbyr.y
<br />.ir ic.nr lor . Fmr shrdr rtE .rplE d lo I nvil |l.'rtr, trf tut mE lhu ,iE hudEd dolhh l!500)
<br />-1.
<br />! dE .f E l'rrErr. d
<br />'ry
<br />.'!!ebre qirh r.t6 s dni -h @nF Erir, rilt .b ri. u,t rd dE r4rh i rrir.'d on6d tu -h (Sd.?or.a. aBtls rn Prordm C.& TtE Gnr.ldq . LrtG Lt ir6 'E +ct, to a otr ot
<br />rn F.Fr, rb nrul d ii4.o6tlEqn {dr,tD dE sh qi nhErd lEr'.thritto,nhn rltr om.n?hFr.
<br />FwiLd $. *h ,truwtu r d ar.n&d a .ft,r{ t. rt tt tortE. nE bldhl ( iitrcrcr ir id ,rih ln )roiconpr:r4 Eot E a{i!t riu lrw.lt hnboa'rot th. rEctEdt d b{itdq iqen E Fr{6i, &. rtt F,rBor
<br />-1.
<br />rr wBr of rrE FIHy, .h .r.hrsldy ontrr<rhg *th ta<!'Fn drrrron lo @itrrsl tlr Flret (Se. ?O+r. DBrnsIn ldrlih Co&: Th. Coftxrot Larnr trq &s frn rppl, ro o oacr of filr-ry rho buildt d nnploE. ltrrqnr.nd *tu, odrk rM uh FDr(<lr *In . Conskntt, tk nsrt IIrq b $c C-odr..rd . Lt.E L.r,.
<br />D.i. ()ik.
<br />nonxr:is, er nrpursirrox
<br />l!t(.r Ata{t(}N
<br />I li,.hy rllir r lndty ,'(ulr ) orlxrrurr u': or rh. rl,k*it &(ldjrnr
<br />-l
<br />.n cr.$ urtd Sd.h- a A P.C. id rhir .s.
<br />_t hdvr .tn will midrn ! C'.drlkrr ol Con4.{ ro S.ll-lnuE ln qorLoi @n{Hthn. & FoviLd to. b, ;Elliha ,?{r, ot r,E
<br />tl&* c.rjc to rrE lEftrae rrrh. wnt rd *rlth tlE Ernh ! (!sd.
<br />l\l h.E .d *ill 'Mdr'n h.r!r' @rFrrbn Iffi.. s r.aurtn !, s*tM l?(n ot rrE bnl, C.n . tu, rrE pLrnnrtr.ri. **t lq rhrh rh6 Fnni' . .*l lt, *rlr @"F.r.6n sllrft mr,n loll.y.urlE E
<br />crr,", Zurich American
<br />wc551373106 ,,,,,",,1o1o,112020
<br />_l trn'|.! r tut rn rh. FrrornErc rr r h! sir lr uhah rhn n(' nrir r n\e\!. I shlll
<br />'x,t
<br />.tr'plil
<br />$ s ro trs f, !trbiLrr t, rlr rnltc'i lon'|tnvri r h*r nrcrlihtriir. rBl rA*- rhd f I \k,uld tr$nr ubJ..r r, rtrqrtm.ont.narirnFrirn.rolS.erDnl?(D.rrtxlf,h{ad. l lhrll fdh*nhn,rh *,rhrll{ povni.n!
<br />WATNINC: l. rF lo BE soltdr' conpcdi{ 6EEac s unL*tuI, ,i .h.ll ollFrr .n olPloF k' shrEt FetB drl(v fiNr up ro oft hldr.n rkruid &!lLn {tlm.(xlr. n .ddai'n ro rlE i{ of.o.tE.qrn.. d.ma- 5 |,.rrLJ ,.. rE\
<br />Sslrh 10?6 oa rll llts Grl(. i rr.{ nrl r my , kt!
<br />*,, 41271202.0 __ ^d,o!,. Christine Van ,
<br />UCIdIIIILCI}UIIATJUB
<br />TIIISJIA.IIQ!
<br />I h.Ebyrrfr u,d.r thMliyorlrij!'y rhr' I u lFrn urkL, P(,vFi,. {r c|qi.r 9 (!M. i., lrh Sntr Tllt) or LrNNxr 1
<br />rf rh. AliiL{ od ftnftrhru CdL. ! nry l.dr ir h tult tor( rn.tfNr
<br />IOllIf,lljUlEIBl}llIiIljENlI
<br />I lrnty lmnhudcr lrulltof txrrlry rhd lltE n ! LrrdMrhn hdmS:Sd, fd rrr F lnmN or rh. rnrt fn ehrch rhB lrrmi 6
<br />itun (sa llr7.cN. (l )
<br />lrdq'r Ad&d _
<br />AEIISAdI.IE(I'8AI&!
<br />I lEtl',.rnm!n&r p.Bky .l Frury 6G or rhc lorb,ini &rLdlo .:
<br />D.nolirIn hmhl^,trdor Nt{irrrrbn tu rrl R.8uLrhr flxh /O, P.d6)
<br />-R.quiEd
<br />trrl.. of t5lirl,
<br />,AI6ni,, rnr ft rcd.rr Et$ltrr! Erul'na arbr.r Emrrl c d +t Fr* b Inr FrF
<br />l\ldrlyiluIrrEEntlln+olrdt!.rnr.r.rhdrhnbrhr''ldir-@.dI{choftyrhhrllc{r.ndc{tu yddie an Sd. h*t Rht h llrLlin, ffi.( .rrl lErty .cidia rFr*r.lE o, ftt Cny 0d C(My lo dq lFi rL
<br />rh<,vc nrDrrnr FrFntld rrtL\rNn,
<br />,{|'plu or Arrnr siHDrurc:
<br />'W},t;^uvo.^,4t27!2020
<br />,'.rn,tunr k,prn , Christine Van
<br />r-LUNlt ll\.tr-ll\aJl-Eu I Ut{ tlEUUtlU
<br />APPROVALS
<br />I
<br />I
<br />r,(!n\e (.1.. B __-,.. !(Ntr N, 153429
<br />b"*412712020 (.o,tr,or Crew Builders lnc
|