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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG. <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor t,tr <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent m <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P{raplDrain Line <br />Main Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Gas Servrce <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 <br />O* EN IUILDET DEITCATATI()N <br />I hdrty .lIm lttd.r Frty 6l Frtry rt- I D dcnt, ind i! Codn.6 Li.# lr? br 0r trltr,,t tulsd ror l.J <br />Au.iB. ..d PbEaio. Cod.): Any Cily or coudy shrh Eq!6 r Fd l. ol6ru.l. a, 'rtmG damhrl or rqrn e, <br />ntu rE, tl ro irr iw.. rlro rqui6 rlE +r td tustFtrrro6k. 3n d i.dEI rbi lEo. ilE i lrcqr.d pu,rtr <br />l. rlE Fowm ol E Cdrxld r L'@!.d tlr tor+rd 9. cm'nl rnh S.dm ,0OO of DivnEn I ol '. Bu'ti rh <br />Pmf.$n Cod.) or rld ll .r .lE n d.n l rtRfrem .rd rlE tui. for rlE .lLs.d 4mtrFn. Any v.LrM .fsEtb. 703 I I hy .ny <br />arlsd 6r r Fmn rbFr 'h. {rl@rL.ov'lt lyofDrmErhn6v.llnid&llf (lJOo) <br />-1. <br />d occ of rlr t'DFny, d 6y.nlohrr. wnh wlsd a rlrt $L otr{Er-r.r'. willdo 0r wdi rd dE rtlEE i ml <br />rrd'&d 6ofEr.d tn.L (36 71x4. BU.!6 ri Pmern Cd.'nr Cdlncrd t LilE L!*&d 'rx SlyL sffiol <br />lh. trwty -ln hd.L d isoE llEw\ rn rtD .h6 rdr (xt hirlf d lrElf n lhu{i hn q hd oh al+lori.r. <br />pms.Ldrh.r dch mpmtfr . c El idqld.d dolH i,r.k.ll,lr*ffi, ilE hiBn| or iqnuEri. b bld winin.m rd <br />of@irt)lrirr lh. ork &rilb sO hc dr hr{a olFtrvig dr lr 6, tr dd rx hrB r iigroE dE FoFy &. dE F,FE ol <br />_l@ *.r,r. p."p.ty. m dch!'Ety 6dd!r *irh r6Ed 6dr.dm ro oEr,,Er rlr Foj.d tria 7fi/r. aui6 <br />.ri hbt-n C.& TL Conh.cd r Li(ff L*.b.t tur 49lr ro 50rE df Fr?dry rl'. h'ldr d 0!.06 thdo'! <br />]d wb 6nE1! tu Mh FDl..t wilh r codrxro(r) lftned pu,un to rlx co..ncd.! l-hc L.w) <br />_l m.r.,+ urdd *dDr--. B I <br />-",4-d3=-14 <br />IECIJIAIIA! <br />, h.cby rfirn rnd.r FEhy of FJu.y om of rlr f.lhwiI3 d..1,, . <br />_l lnE ri will dinlin. cdrf.rr. olcoafl ro s.lll fr br wrd cnFriid\ . FbviLd 6r ty s<rbn lr0o olth. <br />rrtor Cod., tu 0E Ft lrll.e of {r k * tu *tilt rlE Fnir ir i$.d. <br />IlEE.,nwrllm'.'nslt6otrFBrro.ilEDr.,sEqrll{lryS.dm]700olrlELrtorCo(l.,tuiEFt*lla.ol <br />llE vo* for wtrh lhn Fmn ir issl My wdkd on'rEdd6n iMllE cei.r rd FolEy ruhb6 e: <br />PolEyNrniE E DiE <br />.lp *n'ry rr.r . r* p.,r.,^r. orrlE wort tu r.hrch lni Frmn i. i!tu.<l l rhill er .nliloy.n,,iffin i...y ,tl,rrn r h h.od .hFr !o dE *b.td S.rrEn ls 6f C.l't i.. .n .gE rlI ,f I tDuld h6m r[F b dr <br />h.tdc o,e.mrbn l,sBid of scrnn l7m of iE t ltr C.d.,I ltll hdhrrn o'pt ralt iD- p,oviiE <br />lv^tnlNc' FahG b M cD.t..l onrxrrrm omr. ( r.LrftL rn tdl {bFl s drbF lo 6ilnl Frt6..d <br />cMl nm up ro oE hudE{ rlDud &'lld (1100,0{r). i. .ddiri,n ro rtr on oronFrErrr! dmao a F.v'.kd tr E <br />s o.1076otrlr L.tq(ii., hr.d ad dorn.y ! fs <br />DEGIIAAIIA! <br />I h.r.by.lrmuid.r ttn[yolpat y$.I m li.rEd u!d.t Fbvi.ih.loqra 9 (mi,r rnh S.d.n,lDo).f Divirih ] <br />o, ttE ANiN .td Pmi.hd C.d.. sd fr, k.u n in tull t c rd.IIdr <br />colNlalgrouMllclcllcr <br />I hd.by.rm ui!&r F xyofpairyfir dE ii.6,:irdio.lndir.rtry t!. rh. F6GE of dE hrt 6. rt'bh tli. Fnil a <br />ir[d (sd. J097, cir. c ). <br />AIIIJCAUI.DEqiAAIIO! <br />I Hry.fm u'dcr Folry of Frry oE of d. blhwn, &.h..rE <br />D.mh.n P.mirl^rb.iror Noafrlhn !.d.61 R.ilLrn (T L a0, Pir6) <br />-R.{!i!d <br />L.ls of Mr!ftdin <br />-l <br />cdiry rhd rlr f.d.6l Esulol nd Errdins aclEror Emv.l -. n{ lrT,lt.hb lo ln! rmj.lt <br />#*lr rhd I lrr E d rh! i9plr.nn id n.r. rhd rlE .iioE iftm..n ! .n!.i I {rE b 6nply ,.t .ll Clr rn Cotdy <br />nd Srar.I n$s r.L 'nAt,iu'l.l'n!d.1n,^ rndhs.iyr rhn'7.r.nr.rnr 'r.rolrhf ( {yr (-,,unlyr'.ntsurrrltr <br />d'ow .dnEd pmFny i, rqElhn <br />appllcrnr r a$tr. skn,rtrr:g itt <br />r -rJ.lq <br />wlI <br />EErl <br />COMMENTS <br />,T}ilJLAt/ r//7fz <br />Dgfud <br />Miscellaneous <br />ry <br />Notes, Remarks, Etc. <br />,*,5-29- v <br />_L.* Nunb.r <br />ktns r ArlitB: <br />r=------r-----=