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APPROVALS DATE ID/SIG.COMMENTS OWITER BUILDER DEI'ARATION
<br />, h@b, lllm uf,ds Frly of Fiury rhr I d q.d9| 606 rlE Cll[r-l6 Lj.@ ll* fo. lh. tolbwing ,a,. (Se.7011.,
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<br />nD(tBc Fbr to ir! itlisc. .h. Gq!n6 th..ppb.Er for $ch Fnn b 6L r ri8!.d nrml tu h. or JE i lils.d Flwq
<br />lo tlE Fovi!.s of dr Codr&ld! LiElGd t * (Ct F6 9, CoultlrilS rih Setio! ?O0o of DivLbn I otltE &!ilr eE
<br />PEf{ioN Co&) m th.r lE or ilE ir q@pr rhclfDm !d rlE 6.tir 6r rlE rlLs.d ddnFio!. Any viohF. of S<rih 701 1., ty 6}
<br />.pplic.d for. Fnn Nbj6t! rlE .D?licnn ro . civil pduny of or mE O! nv. hu.lr.d d6ll'B (u00).
<br />-1,
<br />a o*ff ofttc FDpary. ( n, dpbr6 rih w.a6 6 tbcir sL @rposaioi, wi[ & iE wqt rd tlE lrllde b ml
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<br />FoviLd thtr r*r itFovtd! e 6l nrd!.!.d d o&!d tu r.! tl holtc.ll. t{ildiB di4 o}@ b Fld willi! c }a
<br />of dr'rriE $. oreE Builda *i! lllE dE hdar orFwi4 thi ll d rlE dil ml hild m i,F!E 0t FoFry br dE FlDcof
<br />l. . orG of d'. FoFy, E aluiEl, co6.di!B wnt [.@.d co'rrrloE ro orsu.r tlE FDjdr (SB. 7ora, B6i6
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<br />B .ror, u!'d4 S.dbn-. B. & ?.C. br 6a t@n.
<br />Drr. oi6
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<br />I Hy.trrD udB F.Ly of Fit, oE ofit folb*ir d..Lri
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<br />rlE s{ f( $tn rlE Fon i isld My itEllllR 6ir.rd roliy rdbd G
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<br />.diry 6. ii rlE Ffo.ln.e orrlE s,l tu *ttt dt Fnn ir is,.r( I trl Dr dploy ey F-n b .r, ,l!.c
<br />- lro haordin to di wtd'odpdri, L{ofc.lifo6i -d {cit ifl sfodd tar$tii lolb
<br />s*d oqddir Fori.iE ols.ab. l7@ of lt. L!.r C.de I irlL &dbvil @Ed, vilh t!6. Fvind.
<br />.d Jd aqd - drploF lo airird Frrb -dd of ol4ddira &r.s6 a FoviLd lor dE
<br />DICIA8AIIg
<br />I h.rby .rEo ulrdr Frry ol Fiuy rhl I e t d.d
<br />'oda Fwiir of chris I 1@itr8 wrl scdbo nno) orDivirbtr !
<br />of dr.loiE Dd PlobiE Co{., d Ey li.!E i1b tun 6G d.fE l
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<br />I hcrtt .ttun u,& rorlr ot FjEy rllr drc a r 6diElio! biliB *6.y 6. $. F6l,!E! of rt. wt 6t rti.t rnb FDi i
<br />i!!.d(S< 1097. Civ C.)
<br />ldid i NDc
<br />11 l. , \, L,(-
<br />aPPLlC trnrarjlr TroN
<br />I h.*, tEi uldd ,a.r, of Firy G of d. toI*nt &b.i(E:
<br />DsD&b. Pmi!A&..d ltdifi.ab. F.da.] &csur!i@ Oll. 40. tui6)
<br />_R.qund Lrldof N<ri6.rno
<br />I .qiry th, iE rcdfll rc8u ..b61@ lEmrd e ml eoltllk ro rhi rioJdr
<br />_-l rdlitthr I h.v.rad th. !bo!. irfoMi.n B {rrdl. I .Bd lo ohdy *nh dl Cny .td C
<br />i 1,,, .(. nrL\r.,.1 L.\r ed hq.Sy llnlEriz r.Euddic of rhn Cny &d
<br />.bov. Mrih.d propdy 6,
<br />AppU.. orAe6r Sbnrrufr:
<br />UNDER GROUND
<br />Waste & Vent
<br />WaterUnder floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipino
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain Line 7
<br />Main Drain/Pool Piping t,//t,rL. t ^) .\
<br />Fill Line/Back Flow \ i , (-.1 ,4tw
<br />Pool Heater/Gas Line )t
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL 7-/'z/ Z '. /''I .6
<br />Notes, Remarks, Etc
<br />PLUMBING.INSPECTOR RECORD
<br />Area/Storm Drain
<br />Miscellaneous
<br />tf")/,tU
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