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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG..COMUIENTS OllNI]R BtII LDTJR DEI,CARAl]ON
<br />I hddhy rllir r tr.dd |tnJlr,,n F4ury rhat I m.xcnu itun lhc Cotrrr.cnn l-i.cn\.lj* for rhc lolloring rcnvr lsrc70ll5
<br />lJu\irc\\ rftl Pful!$tnr Conc) Any Ci'y or Cotrnry shich rcqut \ a Fnnir r, .on{ru.t. rlrs. i lrut- dcmoli\h o' toNn hy
<br />\rrucrurc. prior h ih huE-c. al\i r.qut.l rh.anpliriir fin \urh rnnir t) nlcr !8 cd (dcnrnl rlurhorshc ( ti..n{cd fur\u!.r
<br />b rhc pmviri(Jnr .l rhc (onri.rois l.iccn\cd l,.w rCh.prc! 9. C{nnnr.ncirg \irh Sc.rii,n 7(XX) ol Drvi\i,'n :l ol rhc Bu\iIcs in(l
<br />rrplicnnr ror r pcnnir \uhj.cr\ rh. dppli.rnrk,,.ivilpcn.lryolnornM.rhd.,iv. hun!rcd rlolhr l55(x))
<br />-1.
<br />B o*n.r or fi. pmtEnx or ny crqrlorei eirh urgcs as $cir $h @mF.sorion. willdo tlE vG* .nd tt $r(te b ml
<br />inlcn!.d or 6rend for elc (Se.7o44. Eusimss md Pmf.ssiom Cod.: Ttc Conrrmlor's Linc ke.ld.t mr opply lo m owt of '
<br />rlt rrotEriy wno hilds or itrsro6 rlE@n. ard wl$ dB sh trrt hin€ll o. h4mlf or thmu8,l his or lEr om citPloy.ci
<br />provid.d rh such impmwmnls I ml idcdcd orotu for $h. ll howe. *r buildins oi itrFeft ij$Bwnhinom,ts
<br />or.o,rplcriotr dE Os(r aui,.r wil haw llE hrncn olFnvin8 ihn lE or CE dA ml hild o. inProE tlE pllsry rlt tlE p,pos ol
<br />-1.
<br />aqownnofrh. Fol.rry. mcxclusiv.lycontmlinS wnh liccnscd conlructoN lo consmd lhc flojcd lsec.7044, Ausinss
<br />ot hoessh Codc: Thc Conl.rcroas Li.cnrc Ii* d@r mr aprlyb anbwo.r 6lp6p.dy who huilds or improts lll.r&n,
<br />dnd wh. onrrek 16r su.h ,,rcj..rs *irh r Co mcro(s) Ii(.scd puBlanr ro rh. Coirrucroas Uccn* Liw).
<br />I nn cx.npl undtr Sdio B & f C hrlhi\r.rwn'
<br />roarE&tralrilsArlur
<br />DECI,ASAIION
<br />I hcruby dlii
<br />'n
<br />und.r pcnally of p.4ury om ollhc followinB d(ltralions:
<br />l-atx{(iat. ntrrhc rrli)rnrmcolrhd sork f,tr trhi.hrhc jrnnn is i\\urJ
<br />I h.vc and will mrinhin *orkcrC con{rnslion insu.lme. !s r.autcd l,y Sal i,n 1700 of rhc Litrr Codr, for rh. lslolme ot
<br />t)'€c.5
<br />q c-o tq
<br />-I
<br />ccnify d.r i. lhc p.rfofluncc or thc *ork f{r vhich rhi\ Frmit h isslcd. I shall nor "*,f;f,*,*{ !s to hcdnrc slt{cr r,' rhc soAc(' conlrnsd io. laws orcrlirornir, and 08rclhol iI I sholld tEcotu $hjccr to lhc
<br />*o*94 co,{xnqridn pmvhbnq of Serion 37m of lhc titv C.dc. I slull. lonhwnn Llnrply *nn !h)* Srvhions..
<br />W R\INC: Failurc b scuE workers
<br />9 .o
<br />tJrlrNJ.!:Di!JNI&}(]1)A
<br />u[Lr.8dUQN
<br />Itur.hyaiftNundc'l^-.rlly.ircluryrh l,N lnti\.(luM.r trovti.n or Chrprcr 9 (comn*ocin-! snh sc.rion 700t)) oiDivi\ion l
<br />.i rhc Busms i d Prolt$iqx Codc. ud nrt liccn{ is in iull ior( rnd.fr..r
<br />51t
<br />UW
<br />C!}NSIAI]EII!]NIINDIITG.trGTIC1
<br />I hcEhr siirmx'Jcr Fi.rryorNrjrythd rhnc is. on(rudhn Lndins uscmy,nr Oc p.rroflwc ofthc sort lbt *hth rhi\ Frn'ii i\
<br />nslcd (Scc li)9?. Civ C )
<br />Aftuc NLDEC| Af,AIlAN
<br />I lrE{,y ulnn und.r pcnrxy or,$jury uDc olrhc lolloqi.B dc.hr.ti,nsl
<br />Dcnxnition Pcrmits Asbcrros Noril-r.dbn Fcd.rrl Rcguhrtunl (Tnlc 40, I'an6)
<br />-Rcqutd
<br />Lcrrcr of Noliliso'irn
<br />-l
<br />c.nifyrhar I hlvc,c!d lhis 0lplicsrnrn rhcrh,k inru,mrn h.onccr l trBrarocomply*irhall Ciryrnd C.u
<br />ordin{m.s rnd Srltc t *sEhlirylo
<br />Bbov. nrnri.n.d pmFdy for
<br />Applk! orAa.ntSlA.dlB
<br />(3 LT t8
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under Iloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />Waste & Vent
<br />Water Pipino
<br />Gas Piping
<br />Rool Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P{rap/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 I i tr tlt*}tL -r@Q q11,9 A lV1Vl,tn4 Y+,
<br />Rough Plumbing
<br />Final Gas Test
<br />Meler Helease
<br />FINAL /U{4(,q/
<br />Notes, Remarks, Etc.tt
<br />TOP OUT
<br />POOUSPA
<br />bl{lty
<br />)
<br />Cr'>
<br />-l
<br />.dify th, ih. lcdcrol Eguhtions E8ardinS $benos Emvsl arc Nl ai,pltalh lo rhis pbjd.
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