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PLUMBING-INSPECTOR BECORO <br />APPROVALS DATE ID/SIG. <br />UNDER GROUND <br />Waste & Vent <br />Water-Under 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 Pipino <br />Roof Drain <br />Tub/Shower Test <br />Rough 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 SeweriCap <br />Back Flow Device <br />Houqh Plumbinq <br />Final Gas Test ,l <br />Meter Release )I // <br />FINAL '\/a/)ltt 2) <br />Notes Remarks Etc. <br />O\{NER BTIII.DEX I'EI.CAX IION <br />I rEcq rlnnn trni.r FMIIr F!r) rh.r I m.r.ni! rhn'h. (idrdo^ LEn<t.*ri,rhcfoll'rin8orrrs<71,1!5 <br />Bunnc$ inl ProLlrk'n Cod.) Any ( ily or Coutrry sh*h r.iuiB r Fm ro on{Mr..trr. lmpmtt, d.m)lnh or Esn my <br />{turrE. Irir t, ir3 n\!nr.. "l$ r!qur.\ rh. lllnlidi fttr \kh Frin ro fik r {8Nl {{.m rhd lr or rlE i li(cn<n I'U,s! <br />tr ilr ForFrN ol rlt (irntrni r l,ic.niil l,* r('rqr.r 9. Cotunniit rnh Setr 7(lI) or DNni{ I ol rll BuriEG nd <br />Pn,f.\!on\('(nlcrorthnrhco.ihc h.r.n{,t rhcr.fr.mrfrl lhc h.ns f({ th..lLtcd.r.m ion nyri('hri.norSdhtrTl}.ll5htdn) <br />rmli.! n{!Fmil\uhFl.rh..pnli.{nlr,'rlirilFEhy.lmlBrcIh.rfivcnondr,ldollt,r(sl(r}r <br />-1. <br />s owEr of dE lroFnr. d oy..9loFs wirh wrls $ rh.ir $l. org.nrnhn. !i! d, di kii !d rll d.arc it r'l <br />i'r.id.d d oll.Ed f.r .L lsd 70,ra. A6iBr &d Pinac(i'ai C!d. Tn C.rr..ro.! li.G t w rlo.. d +ply lD .n owd 6r <br />rlr FFry rlD hiL! c i!FD6 dEe rn b dB sh q* nilrllor lr..lrd rlr ltl . d lB os..phF6. <br />l,n*Ld rhi kt ,t+.Dffi & d iiaid dotu 6. -l. lt lnffi. dr llildina n lrFmr.n lt -S ralir m Fa <br />ofonglxix! rlE O*r Buil,.r w h.ErlrhnLnofForlBdtllEnrlEdiirerhi!qirFov!tlEFoFryfd.nullbeoa <br />t)nrr <br />lo8rl&{.grufrlsarrq! <br />IEGI./ISAII'IN <br />I h.Et y.rlirn un<lci ttul,olFp.y oF 6trlE toll,r.t d.ddhB: <br />-l <br />llc.rn till ni .n.C6rlrad. orcokrn b S.U'l6e rd wbr'@nF rirG Fvtn 6r b, S&lh lr00 olllE <br />t-id C..le 6. llE Flm of rlE Et lb. riin dr F t L is.d <br />-l h.E.!d *Il oir.b e.t.'@q.rab.l,EnEg u r!q!i!d tys-rt 3?()0 oilb.lnot c..E tur ln. Fh.ffi of <br />tb wt ar 'l*i d! !.rd i -r. M, rEtai @r .bn bE nrrr d ,oE, ndbd G <br />-.-. At rrrtln , lJ.n.c <br />orL tL 3o{ 0 -1 - t-Lttg <br />_l cdirr rhi i. rrE Frfnrmr. of rlr $orl ftr rhf,h rhr ti mit N Bru.d. I .hrll Lr.npby.ny n N,r in rn, NiE <br />$ n b lEo'E qbFlr h rlr h,r(s, NqEn{.iin Lu'r oi ( iilorni.. md.aN rfid ir I rhuld t<{im $hF.r r. rt <br />*ork6' q'nlF.nial hn povnn,nr or S..rion .r'lur or lhc liln, (ii.- I {ull, (ndh*nh $qrly *irh rtue Im$hnr <br />n qhr.cr u ..?loF ro diriDl Frilr.,'d <br />\ ,1 rn,rl I i, ,rk l'tr !l'rJ rnir\r rl ,l,,llr'\ illrir.lr{rr ,n,i nurtr, tri, n,trr,!. <br />Sdho 1116 of dE t i.. Coda i.aEr <br />V",l ^r 0-2otl/' <br />- <br />laculADo! <br />I hcby .frm urd6 Faty ol Fi!, fi, I n li€lGd urda Fovlid or cll.9ra 9 (olll*&! 3rh s.dbn ,!urr d Ontbn ! <br />of tlr BolrB !i PrDf*b6 Cod.. .d mr li.!e t h tull foc lil ciE l <br />)n * clo .tt+ <br />l ,o:LslL <br />snNrSrqMlalDG.acllcr <br />I M, rfmnild Fni,ofl' rrryria Eltro turlon Ld!l|.$*, r.r tlr pdtrtrc.lth. nrt 6r riil fiir Fmi ir <br />iNld (Sd. 109?. Civ. C.) <br />l@rcaul.Dlcr4Sarllxl <br />I ic.hy rn'm h.tr Futy of Frjury oE of dE tolbein! d..LErhnt: <br />D.Dlibr F.m!9lt.6.tu l{.rifdin fidd.l lrtrlrirtri rTiL :(,. PIr6r <br />-Rc{uircd <br />t rr.r ol thihorhn <br />l..nn) rhrr rh. lnLrrl Rtnld x,aurr.n,l,nI r\h.no! '.nrrilr'. nor ,'mlkihk I' rhs nn,Fl <br />-l <br />.dify rh.r t llE Ed fit rh.Jh^c inhnNrx, r. rc.t I isN h.)n'pl\ {ih rll(-ir}_!'rl(-!( v <br />ot dlir Cny (d c.{n, l. d6 rrm rlE <br />lh)vc nEn'i,n d tmFdy ftr I,/r".-, - ^r-, s*r.o* <br />V-u- * ",,*i[.gzE- $41 {r* <br />, o -LO)8 <br />ar5D <br />COMMENTS <br />lrl <br />t-----------if <br />I