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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS o\irrtt tutt lr!f, DEI{aRATIoN
<br />I hdrly .ftm uidd Dathy of pqjlry dd I m qon l 6w ln! C6ir'-r6 Li<@ t& br ttc bllo\0ta tEr (st.?ot L5
<br />BuiG. .n ftofeir. Cod!): A!, Ciy o. Cqdy *nth Equ!- . Fti lo @'a^rd. .rq. in+.Dv!, !bli! o. iF.i -y
<br />!..'duq Fn loi! i*|dt..lo 'rori-tt did tuElFDr b 6t.!isI.d .d d!. i.6 {. i li(a.d alrd
<br />ro lt. !!liio6 of in colr.xrdl Li6r.d Lre (ct ora 9. cootEila enh sdb! m@ of Divi.b. , of tlE &dE -d
<br />PbE !h6 Cod.) o. rtll lt 6 .lE ! qq!0t r,Elflo .!d llE b.s for l!. .lLs.d daFior A!, violii,n ofs..lbn 703, .5 b, ey
<br />.p?lird 6r . FBir $ber! r[. rpplior ro . civil p@ly of ml mE ll'e fivc l!.(H &rll8r (1500).
<br />-1.
<br />s oqE ofttE Fopqln or hy dpr,td wth v*6 ! d.- -l @46.b!. si[.lt dEEt -d dEfiEe.6l
<br />idEdn d o!b!d ls rl. (Se.704r. BdiE Dd P,!&.ioE Codc It Coir-rtr r u(e t& &- or ?ely lo - ogE of
<br />rh.prDFiy wh. hi!.h o. ir$ro6 $@n ri wt .l(Eidr€rl l ,ulf or lErllor ttdud hi. or lE om GDPbTE.
<br />Fovlt d rl'I od iDFEar, cBl irad.d d otu trrL lt holE. dr bittq M iEFleqE! a ild {ilhi! m }d
<br />ol@lpldin d.o,G &ilda *i[ hc UE brda otFovir d. E6n lfr d hild d fryot 0E FDFry ft.ll. F Fcol
<br />t, s (rc ofrlE FrFiy, E ocluiv.ly conE.rins *nh [€!tcd cot .rcro6 ro @nrrud rll. Flid {S-. 7tr4a. hliB
<br />rd ftotdh cod.: Th. Codrdoar Lt.4 lry &€ et Tply lo oolffiof p.oFl, *l'o b{ild. o iEFlrt lh6@E
<br />ed who @da! 6r *n Fr.dr wilh ! CoGtdo.(, liu..d F nEr to lt. Cofraor't tiEE L&I
<br />I d .ropl unda Scli,n
<br />IOEf,lXt:CMEAIl@Dlclir$IrOd
<br />I ta*, .mrd u.& pdt, ofFi'r, oa of6. 6[ovir d..lrric
<br />-l
<br />lM..lsiUoi .ir.Cari&r.olcoclbSdtli@6.wtd' @opd.ior.. FDvLLdf6tltsabnlr00oftt td c.dc h. tu Fh.c ottk Et br vliA rrt Fii i iEd
<br />_lhe.d*illoi rb srt6 ohpd.lba idlllu., r Gqdld tts.sbo lro ofit t-&. tuq6.tt Ff!.@ of
<br />IrI!@EFI!io. ilstrC 6i6 Bl FlEy !@bq cl
<br />Cdi.: <--*",2/s/zL25o
<br />-l
<br />cdiry rh.l i! 0E p6folre. of lh. wort for whth lhi pdnn b is!.4 I 3h.ll ml .4b, Ey Fton in o, E nE
<br />F -ro t@@uli.d rotlEEtEioEganno Ly.ofc.libni !diE6. I nosu b&odrlid tolt.
<br />wri6' olr.rbtr FDvirin orsciih lrm of rt t t!. Codc I tll bnh, ody vil} rto.. FoririE..
<br />\\,\RNIN(; Irrr.t, qrtr'( \o,lc^ !.r'rusdi,m (o\.'r[c '\ tr r\h'1,e dtloF to oimiod Frxi6.d
<br />civil fi'6 up r,o or hErH rhos'd &lld {t100.000), i, .ddnin lo
<br />Serion 1076 otttr Lh.. C.da id€ii.d ioo.tl f6.
<br />ioa. d@86 . Fovil.d fo. thc
<br />LIL!:]) !-!l!]rr!-\!lat
<br />IECIAAAEO!
<br />I hcrtr .trm !d! F.X, orroj*y rtr t a tlcod EffiGiiGrFq I (6@iia wih s.6bn ,O(D) of oirqiD l
<br />of $. &dE -d PDEiE Codc rd oy [.d. r ir tull 6d d .rft.t.
<br />u*n B lrr6.t{ratlt lo52&o1
<br />o*, n4{?l
<br />COISIBITqIIoIJJIDIIG.ACBCT
<br />I holly dTr6 !Ed6 pa.ty ot Fjsy rh fia. i . @nrErb! Hi.a tcy er dE FttG. of ll. Et !( x/hid rb Fit a
<br />iuEd (Se. 1047, civ. c.).
<br />tda r N.m
<br />rlid 3 Adda
<br />AEIJCAII.DICIIIAIIAU
<br />I hcty .ftn ud. Friy or p.rjuy o* of tlE followht .hcbrioB:
<br />D6@ltir. Pdir+Arbdo NorifrabD F.dqil Rerhi, finL,m. P.n6)
<br />R.$,itd Laraof Noritu
<br />_l cdri& rtd rh. tds.l rqdebB tlsrdis .tqtor rlbovd rr mt .ppli.6!. lo d!i. F!i.d,
<br />I .adry 0. I l-! rqd dn elis! nd rdc rtr rk .bE i.b.db! i cqrd. I .9E ro o4l, tti .[ Ct &d Cdrny
<br />n!ffi6 od Std. ts Ehirt ro Untl'na lEtt, .dh6nr rqsdriG of rt! Cny .rl Coory b da l4on dE
<br />dF!. rEnbn d FoFlt lu lEpdDn porFE _*,4 rz/ zrApdoll or A16l ltldlG_r-- l'P hd.u.{D.lit l_Er.l,
<br />UNOER GROUND
<br />Waste & Vent 2 l'l t u Dfr+E9
<br />Water-Under floor L r1 74 >P*tl tttlttrl Prtr. mca-
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent 7t u)LI DKYV
<br />Water Piping
<br />Gas 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 />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release I I
<br />FINAL a,l)Ya
<br />^",4lz/zl
<br />i)
<br />I
<br />Notes. Remarks. Etc.
<br />Sl,.lzt -vh v*+crvnL lo k^- p oL ->fr.*4
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