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PLUMBING-INSPECTOR RECOBD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Waste & Vent
<br />Water-Under f loor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Piping
<br />Roof Drain
<br />Rouoh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Ir/ain 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 Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Meter Release
<br />FINAL gl8lr8.t t4r(1)
<br />Notes, Remarks, Etc T1
<br />oWNER IiUII.DT:R DIII,(]ARA IoN
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<br />Ilu\inc\\ Jnd i'j!'lasion Collc): An) Ciry or Cotrnr! Nhidh .cquirc\ r |r nrir t, .oinru.t. dlrr. imnrovc. d.moll\h or rcnrn 3ny
<br />inr.ruru. frri(r h ir\ r\\uan.c. rlv, r.qutc\ rh. rmlicMr lnr {'.h p.nnii t, fil. r \ilnrd n.rcrtutrr rhd ltor rhir,l li.chdl pu^ur0r
<br />t, rh. p'o1ni.n\ ol rhc CoDracntr \ l-ic.n\ci h* l(hrntcr 9. Con n.n.irE $irh Sc.ri,n, 7([x) ol l)i!i\i{rn .] of ih. Bu\i,,r$ rnd
<br />P(n.r\nnr\CoJc)orrhrrhcorshcncxrnrnrrh$.liotr,rDdrh.br\i\n,ihcrllrgc,l.xc,tri, Aty \iol!rion(l S(rion r(rJl 5hr t!
<br />aprlic rinrinmirnrhlccr(rhc{'!licrnrtur.irrlncnnlryori.rtrsrcrhnn,ivchtrndrcddollurs(S5(x))
<br />L as ownor ol lhc prultn!, or nrr.nph'tcc\ wirh wnsc\ N rhdir $L.o !-_nr.rbn. willdo rll w)i( dnl tlE {rrucr@ i\ tror
<br />i ctrdcd orollircd ior {nc (Scc 7(!t, Eusircs !n,lPml.$nnr Codr:'r'hc (i,hhrnr \ Licctr\c bw docs trot rp/yro Mowncr.l
<br />Ihc fmlrny alk, hxilds or in!(,B rh.nD .rd *h. (lds such qork hiNcli or hcncll or thorgh ht or hcr osn cmpl,,yc.\,
<br />nmvincd Ihar such imDrovcmrtsirc nol inrcBlc\l orofitrcd rbr slc.ll horcrcr. llr buiunE or ihpnNcmnr i\ v,tr*ilhin.m
<br />'tdor.onDkridr rh. owicr Brikl$ qill k!v. rh{ hlrdcn ol privirrs rMr h. or \hc did nor build .r impnB fic rnrf,ry nn fic ruqb$ ol
<br />l. .c owmr ol rh. prcFny. m .xclusiv.ly contaclin8 wlh licen$d conlEclm lo .ondtucl llE pmicl (Scc. '7044, Buinc$
<br />ond Plot rion Codc: The Contractofs Lircnsc Laq dcs nor aprly h !n owner o, proFny who blilds or iqJEv€r thcmn.
<br />0nd who .omera lo. sr.h pojccrq with . Coniocro,{s) ltcnscd pu(uir ro rlE C.ntrdcrols LiBn* Lrw).
<br />-l
<br />!ncfumpr lmlcr Scclio
<br />wotf,ESs:.coMEENsArIl!!
<br />DEELABAIIA!
<br />I hcEby,ffirmx.d.r lcn,lryor!.rjurrorcof !h. iollowin! detmrion*:
<br />-r
<br />n!rc Nl will minrlir ! Cdificrtc of Conscnr ro Sclalmurc for sorks otr{Ersrion, as l,Dvidcd for by Sccrion :t70O ot rh.
<br />t hor C.dc. for llt p.rfMc of th. m* fo, which $c pml ir hsu.d.
<br />-l
<br />hlve rnd wi,l mninlain worlc^ comp€.sltion i.sursrcc. !s EqliEd by SNlio. 3?00 of lhc kbor Codc, fo, ltr p.rfoMc ol
<br />thc aor* fo, stich lhir Fcmit is knEn. My workcs mry,.nslion inslraE sEio !d polk! numh.r *:
<br />\1448 FUN I)
<br />l< .)" ?tD ?-(--7ot{
<br />I ..niay th,l in rhc p..formncc ol6c wor* fo, *hih rhis F Eir k iasu.d. I shrll ml .mploy rny p.Mn in lny trE*r
<br />s a to h(sm subrccl ro ric *odGl compcnsrion hws of C.liaodi!. and !88 rlur if I sholld b6oft luhj.cr .6 rlE
<br />turkc$'oorlEnsarionprcvirioisofSdrio.l?00ofthcLlldCodc.lslEll.fonhwnhomplr*irhrh.epbvisioni..
<br />w trNlN(; l3ilurc n, Buc wDrkcri comn n\rriqr n,vcri8c is unuwtrl. rftt \hrll \uhi.r d1c lPloy.r ro diriml Frolrics ind
<br />civil finc\ ur loom hundrcd lhouvoJ dollars (tloo.o(xJ). in iddilion ro rhc cosr ol co't'cnxart,h, drnx,gcl \ Prcvidcd Lr rh.
<br />Sccrion 3076 oirhc tiktr Code. inr.rsl and atk{rcy sle\.
<br />,"",9-(-(R fape*
<br />LrcE t[DlaNl3acrots
<br />DICI.ABAIIAN
<br />I hcEby illfln undcr Nnrlrr_ ol pcllury rh0t I am licctr*d u cr fmvision olCh.lrcr 9l.onrmncnrr wirh Scclirn ?O0o) otDi\i\ion.l
<br />of lhc arsincs\ ud Pntc$ion\ Codc. uld ry ltcns is in lull forc. rx] cffc.r
<br />n tat <'12-(-\- l?
<br />coli f,uquoNrElDni(,i
<br />i\!kd rS.!. l{r97. ('iv (.r
<br />affllt6ttLl)[g.]l[.&rroN
<br />llrrby ifllrmundcr p.trrlry or t'crjury onc.l lhc blhsnrS dNhr (fi(:
<br />Dcnxnirn,n Pcrrirl Ash({os Norili.dmn rcdcrulRcguhrn \ llirlc d0. Pnn6)
<br />-R.quLcd
<br />lrncr.l Nolili.ilinr
<br />-l.cnilirhr
<br />rfu lddurrlr.ruhri,nNrogrnli',! r\h({ovctrrrrllrd mripllirrl,lrn) rhis pn'}.r
<br />tl,..no,uo,,u,"",""u,n,\rpplicrrn mn irrr rhrrrh.ntr\. ilrornurtrnr r corccr r]Erericorpr,* hlrr('rynid(i,uniy
<br />rhovc mnli.ncd pmp.ny aor insp.{l 'HTk€1c
<br />Applico or A8cnt Siln.lure:
<br />glr,1t, i %V
<br />I
<br />UNDEH GROUND
<br />TOP OUT
<br />Tub/Shower Test
<br />Final Gas Test
<br />(.n,r'c,.r V+e4
<br />I .11.1'\ NJtr.'
<br />-,. ( -t-13
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