PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG,COMMENTS
<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 />Ptrap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbinq r\ ro t4'T ,s)
<br />Final Gas Test
<br />Meter Release
<br />FINAL -,rA/-2,7)
<br />Notes, Remarks, Etc.7 --r-- v
<br />OWNEN BI]ILDER DELCAA TION
<br />I lF.hy .mm udd llrBhy of tE jlry rhll I m cr.qn fmft th. Co,rdcld Li.ds t w 6r dE followin! ffin (!i. 701 I 5
<br />aurrdi and ProG$6n c.d.): Any C'ly.r Coudy f,hi.h r.quiEd . Fnn lo 6tr(dcl, !1t.. irfmE, .hmlnh .r EFn ey
<br />ruuclw, prirr to it' i! ffi.,.tio r.quid rh.6lp,icd &)r cn Fmil to fil.! tiF.d dlrftni $!llt6rdEblic.ed pur$dr
<br />lo rhc lmvirioN ol tF Comdcrs ! Li@rEd tis (Clufln 9. co,iwrin! wirh S.clion 7000 of Divilion I of rlE Bui,B rnd
<br />Pbf.BhN Cod.) o, rhrl h. or sh. is s.q)r rh.rlion &d rh. b.{i for rh. 8ll.s.d .x.npthn. Any virLrio.ofs.dhf, T0ll.5 by lny
<br />&pplic.nt tor ! pmir ot'jdi rlE .rDlio ro a civil p.Nhy of d ma rhri nvc hu,rdrcd d.lLE (1500)
<br />&r ow orm pmptny, or hy .nlPloyls snh w58d d rh., ol. mr{EBnior will & tlE frxt s,i rlt {nE@ b rer
<br />id.id.d orofi.rcd ftr $lc (56.7(x4, B!dE,ud Pmf.$ioNCo&:Tk Conr6cloa! Lic.E Llsd.6 mr loplyt !nowmrof
<br />rlE FrDdiy *ls buil& or nrpoK tlEml| rd who &a s.n w& hiN.lfor hmlf or lhmush hii N h.r oq .drloy.d,
<br />prodlrd $!l sch inFr.EEec Dr iddrLd or6lH tr hk ll lrffi, Eir dnuor Ep|rMnl i! sh wilhinor Fr
<br />of@trpLriol\ tlrOrrnBuilkrwill lEr 0E hnlnolprcvins rh.r lE.r E dn Dr hlld or iqeE lh. pmrdty 6rth.pl4orof
<br />-1,
<br />N owmr of rht pmp.ny, am .rclu$lly co'rBr-lins enh hcctrEd conl,ncLF r. onndd rlr r.Fr (Sd ?044. Busrms
<br />and Polsbn cod. rn Conlr.clo.t t Nnr llw do6 mr rplily to an owmr o l nopcny *ho huildr or mrmtrs rh.ron,
<br />snd wlvr mnlEcri lor tuch phj.r. wirh s Cor'hcto(r) lic.trr.d N6@d rorh.co EclcrLk.r€bw).
<br />rohcx.n,D,und.. s6non .Ryi*
<br />o",, 1? ae- 1L2 "-- t^-
<br />lliclaEalla!
<br />I h.r.hy aflirnt und.r FmhydfFrjory6n.ofrh. follo,iry d6l,orirtrr
<br />lhi\r.,xl srllMrnrllnic.niilnr..l( onsc lo s.lilnsure li,r \york<a.otur.n..rn,h. rs pm!'d.d ntr t't. s..no.l7{x)ofrhc
<br />Lah.r cole, itrrh.r{rfinimhc..frhe solt lortrhi.n rh. p6hr rc rc,u.n
<br />I ha!. and qill minl.in sork.ri comFNarion iNdn.q .r r.qurdl by s<rhn l?00 6lth. llbor Cod., for ltE p.rfomK of
<br />rlE *o.t litr vhich rhh D.dir ,r irturd My wor*6 omr.nsrio. in.mm en.r a,i Fli.y nlntd R
<br />4\r!.nrt, rtq ,n ltE p.rhmNofrh. ao lor uh'ch rhis Fmil t iN..L I.h6ll ml onloy rtry nstr r.ny @nmr
<br />hnrtot6m l,j.{r ro fi. e 6i onF.qrion L*i6ac.lifom6. ud +Erhd rll .lsu6 tE6m shiKl !o llE
<br />ertn' mmrEMr ion pmfiioB otsrrion 1700 of rh. tihor Cod.. I irsll fonhsiih 6nDly rlh llbqmvirionr .
<br />wARNlNc: lj.iluE ro cu. wrk n'omt'.ddiro or.6!. ,. unl,wtul, .rn rh.ll Nhjct .n .rlplorrr lo aimiE! rE{hi.! lrd
<br />.ivil fiM. up ro.k hu.dr.d th.usnd doll,n (sl0$.m0),
<br />'n r(Bnbn to d. ron ofcomrEsdron. doms.r rr pnvii.d for lh.
<br />s(rhn 1076 olrh. Irh6r Cod., 6r.r.r Md.tonEy r f4s
<br />,',," ,/a- ,/2- 1P
<br />ucItsr:!!)lun lcrc8
<br />DT(IAAAUO!
<br />I h.Eby afilm und.r Fmhy 6f !.rjury rhd I rh lEnr.d und.. pmyi.ion of Chnr d I (ollmmins ,ith S..lion 70flD ol D'vi.on l
<br />of th. Bu.'Er ahd PmfdFn. cod., a,i my ncd* ( n tull 16rc. d .iIEr
<br />ca sttrtcttotu:lDltlc_dctN(r
<br />I herehy.,Irm nBler pcnalryolt€rJUryrt$r rher.
<br />'s
<br />r con<nlclpn l.ndiry i8sncy tur rlr n6larmi'r..lrh. wolk li,r trh(h rhF ltan[ F
<br />ls{kdts.c 11197, C'v C )
<br />AfIIICANLTECIAAAUA!
<br />I hdlty anim undcrydhy of p.rjury orc of lh. folhs'ins d(k orhns:
<br />D.mlnion P.rmtu-Arlx*o! Norilicrrion I:.d.61 R.xulrhB ( rirL 40, Pd6)
<br />-R.qun
<br />d L.ll.rof Nolif$rion
<br />_l c.n'& rnd rtu H6l rgll.hB E!8dm8 ab6l6. ltmrll aE mr q,plic.hk b ini. tmirr
<br />4tEd iry rhrt I IEE Md rht applic.rion .,n n.r. lha lh. .b.E inrotuhn t con .r I d8c ro omply wirh all cir, lnl C.lnry
<br />odhrmd and sr.r. L,w! ELrDE ro tlilding orurdcrio^ !d h.cby suitnriz. q'r.rd.riE oarhir Cny lnd Colnry ro .nr6 o!.n ttE
<br />rh\. nEnr[mJ nmn.n] [r iFn-r.. ry-
<br />Apprr(' or aE.nr shnrrur., C--t,-*,,
<br />/2- aa ."/)L4*-
<br />UNDER GROUND
<br />Miscellaneous
<br />1/zc ra
<br />L.nd.it Ad.hc!:
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