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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS owNER SUll-DER D0tr( AR lt&i{
<br />I fi6cb lllrm ond.r rErllr or rqjun lhdl I fr crmfl noh llr (tftt 106 lx.re l.6t for rh.follo$in8 llen lli( 70rl5
<br />tlrlso* rd Pof$hn ( odct Ant (n, or (.uflt \h(h r.$'n6 . Fmn lo .otrrrud. dl6. inFori &'tulnh or EFn .ny
<br />ntud(., rtu !o ilr ttudnc., sLo rqot6 rh. drl,licmr l$.ucn rmnir l. lilc a iis.d il mdr rh'l lE or ttr i licft.d ontnl
<br />r. ih. Fornio r ot th. ( onrstu'r l.ao*n I.$ l(tu|'d e. ( om'nGing $i!h Sdion 7UD of Dtrih. I of rhc BGins tnd
<br />PrefBioN cd.) 6r rhd lE or slE 6 crol,l lh6.ton ud rh. t!s6 n, rl..ll.s.n croFmn Ant rDhrion of l*rrn '70! I 5 lrr .n)
<br />ipf,rio for ! Fnn $hj<rs lh. lptlic.or ro i .i\ n F..alry at n.r noE ihrn lir. hun& d doll6 Itt&)
<br />f+- .""-,u.^-r. or ny drlo!6 trirh \.1166 rhd sL.omFndiotr \ill {t rlE {r,r drx,d.rnrl@. hr
<br />iddv:kt or ord.J nr sk ts< 7014. lruiiIB !.d ProlRrirB (-o& 118 ( o'rrici.i! l adk l^ dr6 m' irdv h oo*F oa
<br />lh. rrntEly sl$t il&orii trold $6din, .nd rh. d6 rBi $rlt him.lf or h.Mlf or thrnush tn or ha oe n dph) 6,
<br />t'ol ilal ihlt a(l' mF.ros . r. rt Erddol q ors.n fN sl. l( hoso6.llr tlunt.r r+rordM ii $ll sihi. oR \d
<br />.fsnnkti,tr rh.()$n6 &iiltt $ill hit. EhdoolrN,Brhdn qC'.ditd,rl Bor inlth\. rh. Fo9drt ttrtu InlFEol
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<br />I ll'E !n sill uhrti! r C.rificn. olcoefl ro Sdfnlle nr 6td Mr.srinl. B FoliLd tu 6, Saliot !7m of lhc
<br />trbn Cod.. for llE FfomrN of rlE $trl lor $tkh ltl FEi ir i6td.
<br />I h.r. rid *ill mi x.h $o 6 c@FB.tbn idllue ! FqliEd 6t Sdlioi,u00.f lh. Lrt(t Cod.. lior tlE F,.mof
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<br />! h.nt, .!fta utd6 !6.i, of Fi!,y $r I m [6d ud6 Flribtr otct+i t (ffiiia sin SGrion 7@O) of DkinF]
<br />of rlr Buhd rd Prcldi@ cod.. !d Ey li.qe i h &ll ltlr ald ctur.
<br />AITI.ICAdfDISASAIIA!
<br />t hort'lrmundd Frllly o,nsiuryoE olllt follouirs dch.rii(\6
<br />D.nolii.n Pmilr-&bcllor Notific aon t'cd(.| Rcsuhl iofu ('ri b,l0, Pol6)
<br />R.qri'rd l-.lrs of Norifrni{
<br />I (d'$ rhd rlE f.dsrlr+Jld
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<br />Nf4[d,h ,ha I h.,c r€d rh. lnddh n
<br />'nd
<br />{.r. rhd th. rtt\. i.aodio. !.otrd I lwa h 6ftp]} \'.h.lr cn! rnd (-ouI\
<br />ordruR-'6 {nd Srlrc Ir\* rblriB r. hrilrtinB .onitudiotr od ha.bt !urlb.n. r.r,Ml nBorlniiC(t.nd( ounlt r.dqqnnllr
<br />.tovc Mrio..d FtrFny foi ii?.dh. F,Fs
<br /> |)pli...r or &6r shn.tur.:
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<br />4 9:2o
<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 />POOL/SPA
<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
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release ((
<br />FINAL
<br />Notes, Remarks, Etc.
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