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PLUMBING-INSPECTOR RECORD
<br />APPHOVALS DATE ID/SIG.COMMENTS owNElr BUI_DlrR DttLCARA',IION
<br />I hcrcbt lflinn uftlc. Fnally ol pcrjuy rhtrr lrm cxctrrpr li.nr rhe Conrrckn! l-ircr{ Ijw n* ihc li,lk,ling rc]sntr lscc?lr.ll5r
<br />Bu\nrcs rnd Proltlsi.o CoJ.): Aiy Ciry or Cornry *hi.h rDqun \ r n dir n, (. (nrcr. illcr. impnNc. &'fr,|i\h .' rcl)rtr riy
<br />t, thc povnn,is ofrhc ft r.r*-\ l-i..trs. 11*((hrfrn9.(i nrmi.3 sirh Sc.rii,n ?(lx) oll)ivisnrn.] ol rlrc aurnc\snnd
<br />ftolc$i.trs Code) orrnd hcorshc is cxcnrpr rhcrcli.m r.Ll rh.brsis I{n rhcDllclcdcr.nrpri.n nyvidtrri(n1olSc.lio,?oll5byr'ny
<br />rppliclnr lbr rp.rmir suhj.cr\ rhc mliu r k,l cnilprnrhyoltror F'c rh tr livc hutrdrcddollm lS5 ))
<br />E6. ,' "*,. .r,r," l]n,rny, o' nry.trDkDtc\ wirh q [cs n\ rh.n n,h ..ntctr{notr. *rll{ro thc vork lnd lhc { nrcisior
<br />n cnd.d orofl$cd Lr\dlclSLr T(rl4. llrri,rss $,l Pnnti\ior (-odc lhcO,nrs.rffsl,ic.n\cl-redoc\n.rnPflytottnqrrol
<br />ihc pmpcny *ho$uildso'i'n r)rc\ !hrK,n. r wh,doc!\uch*lrkIn sclforhu.cll rlhoughhisorhcro*nc tfloyc...
<br />tmv cd rhur{'.h impnNntnrs rm nor i .'xl.{ nr ollttui ntr {'L ll lx{r{rtr. ilf, hiklirUo, mD.o\cmnri{sli siihi',otrc )t,tr
<br />of.onll)ldirn. rlr owmr BnilJcr qrllhrvc lnc hordcn dfpnviDs thrr lE.r \hc di{l nor htih or i'qmrc rhu nqtnr lir rh( pu,trisol
<br />-1,
<br />ssowncrof lhc ImFny. r ctchcncly mnrBcrins wnh li.cnsd conlDcro^ r! snnfld rlE ptljet (Se ?04t, BusiEi\
<br />d B!tosiinCod.: Thc Co.lmt.ls Li.c.* t * docs mt !0ply l. .n o,n.r of llnlI!.ny sho huilds or improv.s rh...on.
<br />snd *no codcr\ r.r su.I l'.ixk wnh a ContEdo(o lkcnsd p!6u,rt lo rhc Contrlclol3 Lians L,w).
<br />f4 **".0,,*- r*,.n
<br />-.
<br />E. & P.c..orrhn G&sn " -
<br />,.,. . tt- tr-tt ""*^. eelO 9t-!L-!-
<br />UOASEXII-COMIENSAIIO!
<br />DEIqIABAUO!
<br />I h.Eby amrn und.r Fmlty of pcriury orc ofth. folk win8 dcclsrlions:
<br />-I
<br />tuE .d wiu minrcin r CcnifKlr. of Con* ro S.lalnsoE fd wt6 66lctrqrio( .r t,rcvih for by Sdlion 1700 otlL
<br />k6or Codc. lor llE p.rfo@E .f $. mrl( fd shkh lhc pdn n i\tucd.
<br />-l n !c rnd lill tuinl.in sorkc6 sor.nnnion ansBmc. B rcaxircd b, Ser io. 3rm or lh4 Libor tuc. for rh. FrfolmK of
<br />,E erk for whkh rhli pcmn ir ns.n. My mrkc( o0trnsrion in.lmN c! cr ud Flicy tumb.r e:
<br />PolicyNtrmh.r l:il,n.s
<br />A2@ ry rhlr in dE Frfmtue or fi. *orr ror whi.h rth p.rni k i$wd. I ih.ll .or cnptoy any !.rhn in my M*r
<br />$ is ro b.@ft ilbj*r to th. srt6 oryle n$lion bB olc.litomia, dd .AE tu if I slhuld b.sm sbitr lo tlr
<br />sorL6.omFNrioEl,ovhioNoaScdion3700ofrh.LlhoC{nc,IilElt.fonnwirhonplywilnrho$pDvi.ioN..
<br />WrIRNING: F{ilurc lo scurc *ortc^ conpcnslin corcBsc iq lnhqaul- ed shall subr..r u.mtloFr ro sihincl llcMnics !trd
<br />civil fincs ur lo otrc hu.dEd lhoo$nd dolla^ ($100.m0). in addirion ro rrE.os of.onp.nslion. d!'M3.s ar p.otidcd lor rh.
<br />Sccriq 1076 of rhc Llhr Codr. t crc{ rid trnomy'
<br />l( €41,>12-2'?- (?H.
<br />I I.ENST'N CONTRACT(U
<br />IIE!I.A8A.I&!
<br />I hcEby nmrn und$ pcnalry oftcrjurrlnd I 0n lienscd undcr Imlnnri olChoflct 9 (.of,mn.nr8 wirh s.clion 7rx,0l ofDivisiq l
<br />ol rhc ausircs Md Prorc$ions Codc. $xl my li.cnsc ir in tull fdrc nr*l cfid
<br />coNuBucugN.L[N[uio-aoENlI
<br />I hcrcby rmrh undcr pcnnlryorp.riurr rhd lh.B i\. coniflcrin lcndirg r8ctrcy tu rhc p{rri,rrorcc orrhc work for ehkh rhn Fmrir is
<br />hsucd (Scc.lO9?, Civ. C.),
<br />^IfLICANIII1JJ.BAIIA!I hc'r$y rfinn und$ pctrnlry olterjurr oN.r rhc {nli)uirr lc.hmri'!r
<br />Dcnxnirn)n Fci,nirs \trno\ Notfi..hotr r{dcrnl RCFUhrtr)is (Tirlt,l0. I'8ft)
<br />Rcquncd Lc(cr of Norih.di{!r
<br />I rcniJ_vrtu rhc lcdcrrl rc!uhrir)trt rcpinlnr! r\h.{f\ r$xi nl nr c n,i 'pf i.rhlc n) rhn f',I..r
<br />J,,-,_I_Ijl,*r."*E-tr..0".,qn _.l2-.2?- t+
<br />t<tsJJi-Gq \ \q rdo
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under Iloor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area./Storm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Piping
<br />Roof Drain
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />It/ain Drain/Pool Piping
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Waler Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rouqh Plumbinq
<br />Final Gas Test
<br />Meter Release
<br />FINAL 2h /it 5.*tz tf-:Fu-({
<br />Notes, Remarks, Etc.
<br />L€ndcr. Addr.s
<br />-
<br />Tub/Shower Test
<br />Fill Line/Back Flow
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