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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 />Buildinq Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarif ier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Piping 1 4A\1,\bA/t9s 'furwqrt *ral <br />Roof Drain I <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P{raplDrain Line <br />Main Drain/Pool Piping <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 I -l .[rt <br />FINAL <br />OWNER EUILDEf, DEI{ARATION <br />I hr.lry !t[m undo p@iry of FjBy tt.l Im adp{ Enn tlE Co.lts<roB Lt.@ tt{ fot$.lollou g llen (Sd.?O-l|.t <br />BNins sd P.ot6ion Codc) Any Ciry or Coumy *hich rcqub6 r FDn lo coi6tu.1. rlrr, inFovc danolirh or lP.ir uy <br />struciurc. rior to it! isuftq .to rcqunB th. .pplicol ad ruci Finn lo frL ! ris!.d lIaIffil thd lt ot {E it lhdlr.d F,$.fl <br />ro rh. FovtioN of rll conf! rtrt Lic.N.d Law (chaFd 9, cnMing wht s6lio. 7000 of Divi.io. ! of IE BBin !. ed <br />Pbf*ioN Corlc) or rhlr & or st. ir d6rF rh6clio6 ed rh. b6ir hr lt. ![.ed qmnFi- auy vioblion of&db. 70] L5 b, ey <br />!ppli.! for ! dni 3ubj6l! rh. !ppli.&t ro ! ovil !@lt, of .or mrc the fivG hut&.d &ll4 {$500). <br />l, G omd orrh. pr.Fly. or my dplo,€ wnh w!s6 6 rhlt el. ompaldilt! win do dE wrt d'd dE rndw t ml <br />iirsd.d o. o{6d tur $! (Sd 704t. BEI6B ed PrcfsioN Cod.r TIE Contndd s Lic@ l-s &6 nol @ply lo e olrG of <br />lh. p.lFty rro hild! or lrpro6 tlE@( Eid *'ho <lE sch m& him.llor h*l lor rhrc!8h fiit d hq on qIployG. <br />Fovi:H ihr lucfi imFDtcE !ed irnald.dorofrEod tur sle I[ hovdd. tlE t ildiil o. inqDrlml i! $k withinft r* <br />of.oEplri,i. rlE OvF B{il& will h.E 0!. hr&r ofFoilB 0d h. or $. dn ml hilt or irFow thc prDFIy to! r'. Frpoe of <br />l. ao{Eof rh.FoFry, mdcluiv.lyc. r,crir8 wnh lk6.d contBcroE ro oilnlcr tlE Fljcr (Se.7Ot4. BuiB <br />Md A!ftsir Cod.: Ttc Co rxlor'! Lic6s.lw dG .or .pplt to d owr6 oaprcFny *ho blilds or ihpove $tun. <br />od who contr.ct ao. su.n Foiels with . Co i!.lo(s) licd.d pucu&n lo lh. Co.tti.td't Li.@ trw} <br />-l <br />M .idfl ud6 S*rion . B. & P.C. for thn 160r <br />D.!.: 0116: <br />raa(Eafl.(orrrENtAllax <br />IECIJAAI()! <br />I hr.by lmm unds podhy oI pqjury on. oflnc hlh*r* d(laarioa <br />CJ mvc oa witt nainrain n ccnificdc orcongr ro s.lt'lcur. ror soird $np6dion. s F.liddl ror by sdion 17oo orrh. <br />tlbor cod., forth.Ffom .oflhcwo foi lhich lh.,qmil * sued <br />I h.vc dd will naintsin wo*6 .onp..ldrion i6(e.. 6 rcqun d by sEt ion 3700 ohh. L,bor cod.. tor lh. Ffol]Mc. ot <br />th. mrl for wl ch rhie pann i! b$.d My *ort6 @mFlinion illlim! tris rd policy tubbc ..: <br />.^,.,", Anclact"CAsu q r cotlrltf <br />ulo, l.t,\,,r\\trn,u vl Cbgt'lr3Ll5 ,\,!,c\ <br />I csriiy rhrt in lh. Ffo@ncc oarh. worl for vhi.h rfii! pair ir i!$cd- t rtall not mploy lny pss. in e, nend <br />- ar <br />'o <br />b..om 3ubjer ro rh. *rrtd'enFslrion hB ofcllifohi.. dd ,se rha il I rhould h..om. sbid to lh. <br />wrt6' c.nlPostiotr provisioB of Sdion 1700 of rh. Lrb.r Codc I JslL tonhwnh comply wilfi llDt Froli.io6 <br />WARltlN(;: Flilur. ro ffi Mrl6 omp.ns.Iion NvsrS. Ls rubjd M aplo)€ lo nimiill Falli6 ,rd <br />ci l fin6 up Io on. hundr.d thoBdd doll6 (1100.000). in iddil ion, ddEsd a pmvid.d lor lh. <br />lh. l,tor Cade irlsd ud <br />t 'a- <br />DICIAf,AI]O! <br />I h6.5! aillrh un&r Fnahy ot psjury rh3l I d hcaa.d u.d6 rrclisri oi Chrlra 9 (snma.in8 wnh Sdhn 7000i or Divsion l <br />of rh. Ilu$6 &d PmfBioN cod., Md my licffi n in alll Iorc. od .f[et. <br />l.'.ci\. ( l$s L.ctr{ Nutr,hr Lllu{ <br />6rn ^5s1 <br />er€lC r 9lftir <br />AIILICANLDECI.AI{II(I! <br />I tdlby .trr$ !.d6 Fialty of pcrjlr.v onc of lh. follo$'in8 d6ldln,ni: <br />Doohio. PmiB-Ashdos Noli6.,lion F.ddl R.Bularions (lirl. 40. Ian6) <br />R.quiftd t 16 o t Nolifr.rion <br />I c6lit thd rh. llddal r.sulatioB Exddins sbd6 rdov.l e ml apili.lbk to rti! !fr'j.$. <br />C7.-'t ,- , ** ,* ,no arpri.dion &n !t!r.i.aomalion is conel. , ssrro.omply wirh.ll Cny dd Cour, <br />odiMnc6 dd srarc Lr* Elarlis ro hildinB audbrn r.Ferdivd otlhi! Cir, ud Courry ro dr6 uFn 0!. <br />dbov. Mriomd pmpsry for iEp.dion tfa /"rAppll..nl or AEml Slgtrrlure: <br />l+r.l TUl \ <br />I <br />cQxslBllcual$EdDrlclcrNrY <br />I nftby !ft@ und6 Ftshy o I p.rlury thd lhd. ie a .onnrudhn kndins asocy lnr lhc pdI6lfu.. of rn mrk 6r trti(h lht Fnn ir <br />nsu.d {se..1097, civ c ) <br />l.cndc'sN c <br />'hvL)\t lvs.rYi <br />Notes, Remarks, Etc.