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PLUMBING.INSPECTOR RECORD
<br />DATE ID/SIG,COMMENTS
<br />UNDER GROUND rA
<br />Waste & Vent t-zt-lY y.v{rd
<br />Water-Under floor
<br />Gas-Underf loor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />ATOP OUT
<br />7Waste & Vent \"wdb
<br />Water Pipinq oGas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Waler Servrce
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />/..,\
<br />Rouqh Plumbinq fi-21"k"V+lr)
<br />il-z4'K V-V-ItdFinal Gas Test
<br />Meter Release i{\
<br />v.\&rl{J/,-7-t1
<br />Notes, Remarks, Etc.v
<br />t halbt dLn ud.r Ffll, oa Frit, ln. I o Gt nPl nDh 0i Com-rqr' litE tra 6. 0E 6lbrt lrs (Sc.,OllJ
<br />B6ilB .,n Prof*ir Clrt)r &, Chy or Cdny ,ntn ,.qriE . Fri lo o.ra1 .la, !ryot!. .t Dlii d EFt dv
<br />tEBrc. lrhrro irr i$.rrl. rko iqlid llE q!9lter fdMh Ftun lo 6lrstt d ddfrr th.l,EdrlEalited Fmr.n
<br />lo tlE plsvilloE of dE conm.ld.' Lkltl*d Lrw (ctrylg 9, Conr*int wlh S.clb! ?000 of Divilbn ! of llt B Ie! 'ndPEftshd Co&) o. rt r lE - rlE ! .rct?r rh.itf..i Nd dE I:th fd 0i .lLr.d .rcryii,t. Any vi,hri.t of Sdrnn '1031 5 br ov
<br />tpplt d 46. Fmt {b,.rtr rh. .plk rn lo..ivilFMllror@l ne lto tiE lrdrsl drlltt (lr&,.
<br />-t.
<br />s lffi ordE FDFrr. ( ny.n?bF! wlh r{E s tlEi rlcbFdr& ri[& ltE Et d dt nlde i! mr
<br />irod G dld ld -t (sa-7oaa. E!.iB !d PtlElin cod.: TIE Gdsro... t b.E Lt do..
<br />'El rPtv lo o orE or
<br />dE F.Fr, *t tuilt d iryoE dElo6...d *tD &E Gh *tt htGf o lB.llor lh dhn6E ofi.ipk Fd.
<br />previtd rh.t rEh irp6rfrnfi G m! rrsi.d d oltu ld rl. lt h.M. llt tllBnlt d ir+oErEtr n FE wulj, c Fr
<br />{,fs@rri[ rE ot,; Bdrk *itl hE dE h!d.! .fFEvint 0r lr d dE dn r, hrld q lqrcE tE tFFly ld [t rdFE d
<br />-1.
<br />sffiofrb FoFry, e.rhiEb @Erri! *ili ltdd.otun [) @rsr*! rL Flitr (sd roaa. a6ir
<br />.d hrirircod. TtE C.drl6'r La.* Lrr.h.. mr r0olr ro c orE oaF!F.!, rtE holld! - InPtoE tlE6i'
<br />&d rto @ntr. tur cn F.F6. eti. C6dE{ctr lbttr d p6.rr.n ro dE @'ri*r.. r Li.tc t,)
<br />-J D Genpl rntLr Sdlio6-......-.-- B, & P C br On lwn
<br />D.r.: Offi- . -uogsBs:Gtu mii[&llJtarlotr
<br />I lEEby rlrm und.r Fmi, of F,{ry oF ol llE foll,ral. <l.k lioN:
<br />-l
<br />tuw.nl,jll d!, dn. C.nir.rc of Cocr lo S.la.!6e rB wi6 orpdndbtr ! FoviLd ld !v Selit' t,m 'rrlrLrld Cod.. ro rlE Ff.ffi ol tlE r6t tu. whih llt Fn! b li$!d.
<br />_l hE.nd iill tuin!.h m*6 onFEriot iM.. r Equild by S€Iih l?00 of tL Lrbor C.d..lor n pdfffi of
<br />dr kr ld{th$iFDr ir iird Myrqtd @lFrdin inrlffi..trb rn Po&t daaq Gl
<br />_l.cn'lyrhnr 'nrh( Itri.rmfr.ol ih.l,rtrh(hrhNri1trtrr ^awl l.lrl!Nrc l)lovri\B1( nx \ nrrtri.r
<br />- .r ro &sm utr<i ro rlE wta onP.tuatri hwt of (lftmi^ rd.rc $.1 if I nEuld b6l@ q$j6l lo llt
<br />E ta' onE nrrrbn rro$riod ol S.(i'n tro ot rtr lrt Cod..l trlL rfinritot+lr*t! dhr FUviritE.
<br />$ \ li\ r\'
<br />.ivil amr u, lo oE l['rH rh.u$d &lL^ lll0o,(l in .ddnir lo llE .n.l ol otFrEti,6. d.nFt .r Fltild aot li.
<br />s$rkr 1016n||lr I ]htr (,i1. trf.rr{ tr lir
<br />u]-l.ltrlna\
<br />I hdntt.!rm ub pdlrorpcFr orr r o U r* l"ri*n orc!?rt 9l.!|!rlEtt r{t Scrif 7qD) of Dtvih. !
<br />of {r 8!&.ntd ft.t rbECo&. !n n,lilc h b tll bB d.iter.
<br />grlErauquruj.eDltrc-aliElct
<br />I i.E6y nnrf, !i,.r Foly ol tEit, rh.l llE! ir . oltd.xrhn hdhs r!tr, for lll Flffi of rlE *tl t r .lth Dir Fht ir
<br />i$u.d (S.. 100r,Civ C)
<br />L=rlE r ^!.ta
<br />-
<br />Altlll]tNl'lSglarallla
<br />I H,y Ln o'iLr FMly of Frrt oG of rlI folb*it, rkL,nbE:
<br />D.mlhhn PrmnlAstEsr.! NorifEli,n F.df,l Rcsuhhn. (Thk {o, Pr6,
<br />R.qo .\l I rtrer.r Nor'll.rrrn,
<br />-l
<br />drily Ur lh. &i rlllllfi carditE .i.r.!. ,!mnl e .EN Tpla.bL lo lhit FoF
<br />-l
<br />.t rify lhd I lrE ud ttir .Flalrbn d j.L dlr d! JbE inldtrnn ir (nBl I tlrc ln @trply ,nh d Clv .d Cour,
<br />ordnlrd .d Sk'. t qr EhliE ln h{illina .odrui rcrr.Enr.rivs or rh,r Cny !d Co! y ro .nrd uF,. rrr
<br />rh,{c nr ,'md pn)Fdt for
<br /> pplir.nl or Aa.nl SlaMlut:
<br />/ 1-'--r--:ss+
<br />APPROVALS
<br />I
<br />'l*a-t ,
<br />FINAL
<br />/'/e/e/E
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