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APPROVALS DATE tD/stG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent )4
<br />Water-Under floor /ty >x
<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 3 >st
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/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 31 5l\gV
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap lrt /3 1 5,59*
<br />Back Flow Device
<br />Rough Plumbing i}\r7
<br />Final Gas Test ,(.\ ...I t, tzn
<br />Meter Release /\ ,r ,ty
<br />FINAL 7lu-r r1 ,1,114i,)
<br />Notes, Remarks, Etc
<br />OWNIT IUILDf,I DEI,CARATION
<br />I hd.t, rmm ulds rolry or psfuy tlr I E a.trpr tDE rlE colr,*rd Lt6u l* br thc followhr ,!mn (sE.?o!ll
<br />BuilB .d PEft{or Cod.): tuy Cny d Cdny rtkt EqllG . Fir ro @d.ll(r. .ld. l4.trvq .rDllt d q.t Dy I
<br />rtlr.Iuri Fnto M. lto qu6 tl' q'd'.rr ftnBhpd , ur [l..i!r.d d.!Er dalEor6.ili.qtd Frur
<br />!o rlE Fovtiou .t 0r Co,rtutd . Lic.n*d Llo (Cl5pts 9, Co.fu*int rnh Ser.n 70oO of Divarbn I oI llE Buind rid
<br />fE&rbd Cod.) d Itd lr r d. i d.n$ rhdton rn llt b.,i,r tt, rh. rllq.n qaqxhI Aiy rnlrbn ofs.6bi 701! 5 by ay
<br />.r?!orr &..Fm obixi! th +plId b..rBt Fntyold m tlr fre hn H &lLn (ltoo)
<br />-1.
<br />d otu orrlE rEpdry, or ny.nFhyd wilh w.td d rlEr -k @np.d.rbG vil rt .h. *a* !n llt rnEe 6 ml
<br />i crtd ootu b..t (Sc 704a. auiE !,rd PmerbE C.d.: Th. Conncrr'r Litc Ur dE ax ?plr lo e orEol
<br />rL FbFty ,no b'll d i$rrE dEan id rlb rl! cn ft* h6Ellc l'-lf n lltmll bi d lB lm cqbF.1
<br />Fordd d{ rdr lrptlE-rrGBr i.dLddolH n .L l( ldrG.0E h{i5ir (aE sEGi rdd xrth* }c
<br />ofodlhbq dE O*c Build.r wiu hE rlr hldar of ldilt dr ltorlEdil m boild o. nqer 0E Fr?cty tr E FrFEof
<br />-1.
<br />6 ffiof tlE Fr,rdry.6*hsiEly @rrditv *rh lrdi.d od.xrd lo cdiEr dE FF (SE. ?ga. t'ElE
<br />&d Est{ir Cod.' Ih. Contn rd r Li..M ttv &E mr qltlly ro u otu of Frrny wh. luild.., 'oprB th?rl\
<br />rnd *ls dirfur fff *t p..rd. wnh. C.drdo(r) Ikr..d F{,ird to lh. Corrndd! Littr ll*)
<br />-l
<br />m d.rpr u!&. S.d,n-, B ltPC l,,th.lffi
<br />D.r. Or..r:
<br />llrBlirf,s:-cltllll!5allo!DfgladIg!
<br />I nd.hy !firm ui&r Fdliy oI FJll( ot o r rh. l,lkrf,m8 d.ch6rr)nr
<br />-l
<br />hr $d eill r!r.h. C.nift1c ofcoEr io S.lf.ldE &. Fd.d @iFBdirl' r FoviLd 6r bysarir !1m ol0E
<br />t td Co.L. 6. Ilt F6.tu oltli ft.r &. rtun dE Fdn i iodr
<br />I h.E..d sru mhr.in M*.o cotrrEMdir. iNDm., s ,.{u&n by S-lnn 1700 olrlE Lrbo, Cid.. tm th. FnrlM of
<br />E k*I 6r {hth fi! Fmil n srd. My wst6 omFE irn rerft. o,d ,n Flry EmlE E'
<br />Pol{t Nun,h.r I \In.r
<br />_l enrry rn{
<br />'D
<br />rlr Fillr!re otrl* frrt l' sn.h rh! p.rnn r Ex{ I isll d .rqrby r, F-tr o ey nlrG
<br />- d ro llqft elr.tr io dE q*t.rJ orrddir. Lw. of C.l'6r
<br />^
<br />.tn lrc ll\lr ir| itbuld !..oG ot d !o r
<br />erkd' odq<mr ian pmvirio^r of Sclion 1?0{ ofrh. l,h.r Crn . I idl n h{ilh 6nply with rt c tmvnbM
<br />wan tlNC tutuE ro ru ust n'cnlncEmn orarE 6 unh,tuL $d rh.ll rhFr u srt'hF ro ffil FEIE.,n
<br />cMl li6 up ro.E nundr.{ itF!6id d.ll.n (!lm,filo). 6 iddr.n t. llr $d ofconFnElioG d!tug.! .t !ftvnld tlr dE
<br />inl...i !,vj .tnrE, r fa.
<br />Dlcllaallod
<br />I h-rty rm u.ts dL,of F,lty $. I n li6d uid Fr6ir of Cll+.a c (tui! *ilt S.cb.7m).f Dnnir !
<br />of dE BuiEs .,n tEfteB Co&, ri iry lifr , o tll tG tld .lE(
<br />b.^,
<br />NE4[
<br />!o!!u tqllolJr8[Ills.Acllcx
<br />I tErty .tTm !i&r Frry olpsrry dr iEr i! t oirtdbi Hrr t€cry tr dE FtIrtrE of dr tur tr ltti lhir Fnn i
<br />m.d (sa. 1097. cfl c.)
<br />AlllJCi ttrLDECllsA:IIA!
<br />I Hy.frn rdlc pqrly of Ddnry G of rlE 6lLur rbl,.lnN
<br />DGmhb. Pmr..Art ror Norilrrbn F.ddll R.lr)LriE (rlrlc,O. P.n6)
<br />RccqGd llraof No.ihrio.
<br />-l
<br />car!ry lhc rlE &d Erult bB E d!!g Bt r ltm[l( d qnlobk ro lh! I'DF
<br />-l
<br />cd'ry dd I lIE rad rnn .ldt.riD ri r!r. 0l, lh. .t E inhnflion ir (,rd. I qr(
<br />ordiN rn Sri. L,q Eh4 ro hildrr edrud'.a rn hq!5, dlbrir rq,Erii6 o
<br />.lbw trHon d pmFny 6r
<br />,\ppll.rn. or A*.trr Slrtrr.tr.
<br />P.rmlrr ..nr (rnnr I
<br />io onply ran dl C!,.td coo y,.::uffs-
<br />PLUMBING-INSPECTOR RECORD
<br />.".,...,.. E
<br />t nd. A.LtB:
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