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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />I nterceplor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Pipinq <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <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 lLltbl't?l./'n <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release I <br />FINAL N7EI / <br />Notes, Remarks, Etc <br />OWNER OUTLDEI DII'ARATIOII <br />I hd.ty .lTm !i.ld pa.t, of Fjs.y iu I @ BalDr 600 llE C.ntE 106 LrEs trw for lh. fouosiis !@i {se.7o}l.t <br />E6ir{ rd Prct6i,r Co<h): Aly City or Coury wh(h rq!n6 . Fnn lo onrtud, rlta. i[,rcvc d.,Dlitl' or l4.t oy <br />,nrre Ft{ ro ir. iBlft.. .t!o i.qsi6 rlE ?plkDr fo, st Fnir lo nL . !i8r'.d ri.El lh.t lE d aE i |i..,!.d Fr-!r <br />lo rh. p.DvitbE of rlE Co.ir*rd ! Lkar.d Lrs (CluF6 9. Cffiins wnh Sdi'n 70O of Divirbi I of $. BGilE ed <br />PrtcsbN Cod.) dr thrl l* c alE i ddpr rhd.tof, od tlE bdb tor th. .lkecd qaqioi. tuy vioLli@ of Sdtb. 701 L5 by uy <br />.gplkan for. pdnn $b.i4t! rll .$plic.fl ro. ciilpa.l, orml MBIID 6a hwtu lbllB (l5()o). <br />-1. <br />B o*M of rh. FDFry. or my dplolc *nh *{6 ! rlEir $h onps!.ioc s1[ & tlE eql d.l rlE .lr'!w i Dr <br />inad.d dofsld 6r il {S6.7Oaa. BoliE.d Pllb.ir Codc Th. Cor.n id.Liet *dddrid,tooo{Eot <br />lhc FoFr, d6 toild 6 iqD6rhc!@..td who !h..rd w] liE lf q lEi.lf d rt6!|n nh d h6 06.rplor6, <br />p..eiLd rt r sh itrrylwnau G tEr iiraxld orotu b.3.lc. ll li*!tE. l[. hlildiry trryovaEr hrold w rilN )d <br />orcoatioo. UEO"E &itb *illh.w l! hldaolFovi'E rh trdC!dnbl brldditgoEtcF!Ft, t 0.F!F..of <br />_I.soscof E FrFry. ua.rliv.lrorrratir wnh li.6!.d@fi..r6ro@innal Epljcd (Sc 7().4, h!I6 <br />rn Albin Cod.: Tic Conl6do, s Lk@c le &€ Dt epl, ro o 6ME of FFry who toil& or inF!€ tls6., <br />od wno 6rrr&t ror ECh Fljcl. *nh . co'c*ro(r lta.d Frlulr lo tbc Coflsld r L.6* !ry) <br />ledodu&Scln . B. & lC. rorthitlBd <br />t <br />.!o8f,E85:.CA!CE!SAr&! <br />D&qaSart@ <br />I hdcty .IIm uda pauly ofFjury oG oflhc lolloeiig .L.lulioN: <br />-l <br />hiE.i *illril.b. Calin .Gotco.er to SdlluE fa wro @pdri6o.. !6viLd tu b, Sdir l?m ofdE <br />lrhor Cod.. fo. (r. Fhrirn c ofrh. *!lr f6 stkt rh. Fni it i'!*.d. <br />-l lr* .d vill milid! mrld .oq@dio! i@nrcG. d FquiErl b, S*rioi !700 otllE r-.bo. Code 6r th. Ffnlrnt! of <br />i! i${.d My wort6 .oopoEriotr iBum(. ffir 0d policy nuhbc tc:\F <br />Potiry lunta:-a \ G .f,.{ d1 (O z z_l <br />I cdiry fia ir rh. Ffotu. onh. Kd ld *tth rhn pqnn i! ieo.{ I dull not aploy 6y F$n in Dy IqE <br />$ Blo bd!tu Nbj6t ro $. *o.Ld'@oFsdion Ls of Cdi&m n<l.errhn if I tlbuld b<on. objd ro0E <br />6!td @npoutio. FovilioG ofsdior l?m ofdE t t rcodAl idl rodFnh 6nply *ihlho* FDvaioB <br />wARnlNc: F.ild ro s@ ro*d'@6FBdbn cotsrsc it u!*tul lxl lhrll iutitr u dpbF ro ci6ii.l pdti..!d <br />cMl 6E Ip b oE hnbGd 0br{rd dollm (110.000). b .dditbtr ro rlE (fiDdqaoG dd.36 . Fovid.d tJr !. <br />slrrr{ \r:r,fIrh. I rhr (.Jr.tr flN NlrnriG \ L$ <br />,).,.: r.t-\ 15\ z<-tI <br />I hadr .fiE o!& Frx, ofFj,r, rti I 6 t6d Ed6 FvitiE orordr 9 (@d.rti{ *ih sctbn 7m) of Dtiid , <br />of th. ButiE !d PF&.ie Co<L. .d oy ltd. a it tutl bllc d.ftd. <br />ts 1oLI i..N. Nunnr <br />L '2/' <br />caltr8rcuoulJdDlliclcllll <br />I bclt,.lTm urd.r ta.lyof Frurythr $di.sr*E br ldtdin3.s*y lbr t Ffo'rte. otlrE wl 6. *nit lhi] psha a <br />r\u.dlS( 1097. ( '\ (-) <br />ATILICAtrI.DICIJAAION <br />I hlrbr.ftE u!& F.!, of Fiury c of th. &llosint &.1&.1i6: <br />Dc@&bn P.rBiE^ttdor N6dfidih F.d6.l R.rohbB {TIL .O. Prt6) <br />-R.qdid <br />l,ar.,of No{6dhd <br />-l <br />cGriry lht tlE t d.r.l r.Bll.rbc Esddios nt nc lqEul E ror ?plk DL ro rhit Fbj.r <br />- I cdity rhd I hrlc @d lti! lppltalion ad n.t. lh! lh. ltovc inloEndion ir corer I +rd lo onply <br />ordilE6 &d $d. L.B idrhB lo bildi!8 offirEriolr .'<l r.!e riv6 oIrhitchy <br />rhorr tulio'Ed Drordry fd <br />tl,(,.c <br />-d coor, to .dr ,,i dE <br />rz fI I z,,t <br />En4/EIilHE <br />I I <br />{ <br />I 4r- <br />I <br />-I <br />I