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-PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <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 Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release <br />FINAL lo-ZL-A iltlLr) <br />Notes Remarks Etc. <br />OWNET TUILDET DEI.CARATIoN <br />I hadry .rm !id.r Friy of Frr,y e I m *rpl nm lh. Cor.r.crd LiEE l,t 6r rlr t Ltqa tu {s..7ojl t <br />Bun.6. .nd tmtdirn C6&): Ary Cily or Counl, *hth Eq{rd i Fni! r. 6,1rru.r. .h6, itrpmt dmltrh or cFtr .ny <br />tlME Fd ro irr iqlrc. rlo 'tqiB tli ipl.lr tr *h Fnl h fik . r'F.d ra.rE l lld lE o, it . li.sEd Frulr <br />ro rh. poBb of 0E co,rErd't Li6Ed tt* (cn ,!16 o. com'ns , h s..1.n 7m0 of Divnnn I .l lh au,fts $d <br />PmE irN C.&) or llII ll n ar n q.r{'l llEE&lm &d iE lir!. ttt tlE .lk8.d d.q hn. Any Yioldi.n ofs.s.n 70] I I hy my <br />.p'lE!r t'r. Fni alirat rlE qphd b . d Frhyof mr mE lno fiv. huid dtlLr (15{nl <br />-1.!ffiofrlrp,lFrr.flmyarghF,{hw.tslrlEriLodrE{rioi,willdo0EELrndt-ldeinrlrd.Ld dolHt -l(Sc.?(xa. Bu!.n.d Pmftt cod. ft Corrrlrt t LaE fta.rE 'tr $ly!t -Mof <br />rh. Fl.fiy ats tdki d htoE 0Eqx\ !d et ds Mh rort hiMlf or lE*!f or sorh hii o lE (M .r4hFd, <br />Fovit { d 14 iFsElEgGni nad.d dolE.n 6r rL lt lffi. rlr td.lt d rrrFEird i-ldt$nm rdofd?biit iroaG &rrb,in hE dr Lt&rofFnwt lL lt d tr dn 'd hild d iV.sE dE Fttary t di FrF.oa <br />-1.!ffioldElrordxmrctunElyerr <br />rinr *'rh l.nrd.oddm ro onrrxl llr ImF 6< 7lxa, h!!H <br />.nd Pnl'b.C6dc''lhc conlrrciolt LicoE Llv dod mr {rly lo e owncr or,mp.nyvh lN'ldr or impow. th66,1 <br />.d rtD odr-rlti ctFi.{r rrh.coffidlO lEdn D!rulr b$.Coni.crd r la!* Lr) <br />lsD.r.hnr utul.r s..ron ,ll &I('nrrhFr.nr'n <br />Drt. (tr!.. <br />.\lrsht;B!:g.Drt!l!a.lM! <br />lll:9.A8.!Ilal <br />I lr.rt't imnnukl.. FMh).1Frun ofr o, rh. l,,ll(){ tr,r (KLl,y, k,n< <br />-l <br />llr rn rill minin. Csrifidr. ofccr ro S.iplre t EId @mF!dir\ - FEviLd &{ brserb.1700 of tlr <br />t Dd Cod., hi llE Ft'm of t[. ** nr dit rlt Fhr . irr.d <br />,llrE.dr l 'll.o wto cqFDlin !'Jl!G. r rquird bts<rnn ]7m or0.lrln Co.l.,6.tln F6.tl.cof <br />rlr ftd 6r wtah fin pdon n !r.d Mywto onF .nil'fudfu-dFl.,dDlEn: <br />-l <br />cdilfy rhd in rlt Ft'l[E. of rlE mrl tu xhrh rhr Fnil s urud. ! tsll mr .rrpby .ny p.mn it 6, mF <br />m u io tE)E dtill ro ttr hrtd' 6n?.6rh. hB olc.lhmr., .,n rlE fi.r if I ilblld t6!G bFI io llt <br />eltnl @qEan6 F0B.B of Sds rtuoldr l,td Codc l arll *'rnfit oinly trh rlD* FlMn <br />ir^Nrlncr hit^ ro m krlGi'MgGrEin 6E r.! ! unh,ftI rn adl -bid e dFhF b diNd Ftli! rn <br />.ivil flE up ro d h!,'(H rEe,i dolLd ltlm.om,, in ..ldrion lo llE .or of @n!EolF,'. d.a4d r Etrvit d tu llt <br />z, <br />trIclllarla <br />I h...t y.rm ud.r FBh, orF Uy rhd I m i6E d ui&r FoEi,. of Chrr6 9 (offiiq *nh s.sD. ?0001.tDivirih l <br />of rlE Bui,B .d ?mft8i,d Co&. &d oy ltr ! ii tull h@ rd .lt <br />'.o '6o 2/6 <br />d <br />cQMlalcrolJiuulc-dcBq <br />I lrchy rftm udcr FMIIy of F.Jlry lhrl lhd. I . 6^rruda6n lrnhe .8dy &" llE Ff.)l]rM. of rh. srt tu rtltn lh! IEtrr ir <br />'$xd lsr 1t)97, Clr C I <br />AIIUCIII.IICIdIAITO! <br />I hudr.trm und.r p.nty 6f Fjury 6E of.lE hllowi.8 &.lr.r.n.' <br />D.ml .n P.mtlAr!.rd llorifrrnn !-.&r.l lt !|Iuia ( l L 4{,. Pd6) <br />-R.qtid <br />Lar6 of N,or'fc.ion <br />-l <br />.mifyrha rlr B.r.l r.IuhtirE EFd'll..rt 16 llmul e ml +rl..6k io rh! FoF <br />-l <br />€t'ry dr I lrr Ed t.rDli.l.n rn rd. dI dk.!oE m&ff6. b.dttd. I {r lo @'rrlry anh.I cry.rn Cody <br />.dimNf,.,n Sr.r. L.s Ehlr ro h'tdins ol.nrr h.rby.dlDm 8 ..*ni'a ol$! C'ly ltd Cody ro dr qm rlE <br />olr nd6mJ t6r*ny i,r in$etF <br />ADt!..!r or &-l stn.r!E: <br />P.mlrn urOn.r)//7.L uPA <br />u/ta/z- <br />,* 1fS7T C ott/ <br />p"r"yx"*,@**,-/*/v'