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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS <br />UNDER GBOUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Buildinq Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />yVater Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />R ough 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 />Sanit ary Sewer/Cap <br />,/l(t 5 1xt fia <\ <br />Final Gas Test 7 <br />Meter Release <br />FINAL '4 5.Vdu <br />Notes, Remarks , Etc. <br />OWNER AUILDER DTI-('ARATI('N <br />I hrcl'y rm,n unld rrulr) rr lrrllr' rhd I m .r..rpr rnm !h (ndd.E- LaEE bs lo, llE ftnhrha rc.irak nra J <br />Bu!fttt rn Pioldrih clrro Any Cn, or Cfl'.ry ctrt iEqurcr . Foi ro 66t^tr. .h(. aqiDt!, d.tulnh or rlr .n! <br />{r1uE. Fr" tn rr uu.N. th. 146 rlr +nl-!nr fd skh tma ro lir. r neEd {d.mnr lhd lE or rlE n lE.-d |trut <br />ro rh. Frn,fr f rlr ('ontdd t l.shkn L,s r(Iut{s o. (ollftr,nt wirh S.di,n 7Ur ot Divirnn I of rlr asriErtrd <br />Prof.(h.r Crn r .. <br />'h.i <br />rE d (h. r .r.npr rh.nfi un fil rh. h.rn ror rrE .lL8.n cr.rprio. Any viohrih .l SdDn 701 I t ht an! <br />rl!t'lk! ror!Frm .urtnh rtr rrtnlx.nl ro.n\il|rMit.lr.r mr. lnr fivc hu'nEd dolLr3(lSOl' <br />.$.!'. . "" * r,* <br />".,.nv <br />m mv..irroy*r sirh rrsd. rt.n !,h tu'l.nrdhn. uirr& lE x*r.tn dE ..BrE i! E'r' <br />'n!.rd.d or',fl.rcJ nr sk 'S( 7(xJ. lturifts lnrl PmL(rt.! (iJ. Trr(hdrkrn, ! Lirn* ll*'&F ,rrpl'hrnorm I <br />rh. pmFny whr t[,l(n or nqnoh rlEE)( md rlF dr6 rkh srl hinrlf or h.iclf or ihfrulh hn d h.r o*n.rr!lhr6. <br />l*orkkd rhlr $ch itr{'oEnrnh m ft iniciddi oi oll.ftn tu eL lt l$f,(s. rh t iuin8 or inF,Emnr ir rltl eirhin om trs <br />oadinhri,n. ih. ()emi Buitb *ill h.E ri.lud.n aaFoliru rhd lr or rlE dd tuildoriqftrthcltFnytull.N{h.ot <br />-1. <br />! l,lc oirlE Fq6tn m.rb.iEly.rdr-riia *hl li.ar.rl .oerdo.r io @!E rEl 0E FoF (Sc. ?044. BtdE <br />.!n A!&.'Cod.: TIE Codrdd'r Ll@r t * do.r Fr rpply ro odE olFoFt, rto toib d nnFos iFi[Ii rrb cirrdr fq n d Foi*!. rti . Cdr-rdr li6.a p6r b in Coi.-ra'r t!!E t rt. <br />I m.tld n'id Sd6n B aPC ixdEdnI*, olltG lll -,-_c\ , uL-y,,,,t-=*EiEliffi*- <br />I h.Eny.rm uiLt F !, of F!ry om onl. rrnbf,hr &ck rh.!: <br />-lhrrcurlrrllnundmC.niitdc.f(hnE.ri.sclrlnru..tusorld\'.nnl|'.nnnn..NF)ril.n!'trhySdrio.l?(xrorrh.trh, Cixt, rin rh. FrflrnEto'. ofrh. wo nreh'.hrh.rErmi n n\u!,| <br />_l hnk rnd$illnunrl! *ortcs coqrnsrlion 'ni!ruN.. !\ r.ltuiNl6ySd1x,n:l'7(x)olrt lrt'or(ixlL.l({ rlE Flonurr or <br />I h. *ork r,, N hi.h lh! Frnrir it isBl [,r worlq. .'nrtxn{' i,n rn\u,(x( L.ria ,n Frli, n!'trh.r u. <br />llAl -ro, -, n * rolor* ord. wt ts *ntb l,li Fn b t$.d.I lrll or Gqb, &y FD D.n,ruc'D - b tam olFr ro tlr Et F'.oqadDi LB of C.!i&. {d{EdrirtndldlErEdFrrorl!6Id dr?.6rhd Fdiim ol Scrbd 3?@ ol ttr lrL. Cod.. l lrlL fr,rhrn dryli rin dto. FovhbB.. <br />Sctri,n 11176 I rlr |.ih ((x1.. Nrbr ntrd {riorft.y \ lcr\ <br />-",otl /r^ t tt ^PP,i6n,: '-|-VqlI t(|\\t rr co\ | I,t('lokrt(L f, t(,tiI6,.rlt !"dq F.l, ol Fjry rh. I D t qd oid Flviioo olor.n6 9 (@r!Eirr rtt s..rin 7@, or Dhirii -r <br />.f tb BunB .ra thtrbd Co&, rn nry ti.EE i h nr! 6E Dd.lE r. <br />g)!ua!ltt!J!.-L!!Irtfl1i]!ti!!!a <br />N\ucd lS( loi)7. ( i! r- | <br />AElJSArr.lEq4lAIl(lU <br />I H, {fih ui&, p@.i, or Fi4 c ol E lt lbrbt.b.Lrar: <br />D.Dlib! F6rt9^tn6 llril'E bn l:c(l.,.1 R.trbir (TiL lO. Pir6) <br />-R.q!id <br />lrrd ol tldr.in <br />I c.drfyrh.r rh. L&rrl tu3u ldrr)ir ng dnrg r\trno\'.nr*nlrr. 'N ql'lk,hlt h rhs pn,Fr <br />{f *.r, ,n, , t," ,-u ,nF rfl,r(. n,n itn {nHhr rhr rh*c nrro.nurr,n tr( ns1 rrt,ek).onrly*i,hlll('rylRl(i)unry <br />'trJinufr.\ iftl Sr!r.l tru\ EUrinE n, hllrllins c'{Frrrrr,.. nrlhrr.hy rtrh't'r. r.rr.<nhrivc( ollhi\ ( iry tnl ( (nl,llyxi cnrd uFr lhc <br />lhiv. rnii.ftrl.n'mr! ,i, <br />'n ,) <br />Apprunr or <br />^r.nr <br />slrrro*: <--:)/LLL!. a\)\- ,r', O / l / 6 1 /8 <br />p.m,,FEfr(pr,n,, -.].tai rttr"uT-e t't <br />tat, <br />I <br />I <br />Back Flow Device <br />Rouqh Plumbins I h <br />+ <br />+