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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER IUILI'EI DUTTAATION
<br />I lEltr.,Im urla F tyofpcjurythaIedan 6!, th. Coili&rd Li<r.& t& for rhc buo*tu t@! (Sc.ro3l.t
<br />&!iid !n ltobid co&): Aly Cty d cody *tth FqliE . FEr lo 6!.^Er. .!6, u!F!v!, &|di! c ry.n oy
<br />d!du!. Fbrro il! h'a.., &. E+iE dE +dirr 6r,rl FEi L tu. i8r.d rradl dhr i.d tr. i U.a..d Fr-d
<br />lo llc Flvib6 of 0r Collttti lic6r.d bs (c|l4l6 9. Coitl@iI. wi$ s<riE @ ol Diviri,n ! ofrb. h!i6.ld
<br />Prer..io6 Co<b) d rh! !E dllt ii daqr thdrfoo id tlE b3b loi U..ltg.d a.qbr /{., vbldbo of Srdir 70, !,t b, &y
<br />+pliq,x tor r Fnn ebjcr! dE .rplial io r civil p@lly of bl mE llE fiv. hudEd &llrn (1500).
<br />-1..
<br />lj{c otdE FoFtn a E, arPlo)6 *il s.t6. U.i rl @Dpd.bl! soe lEwtrd dr nEG ir Er
<br />na.hd notu 6. rt (s<.r0,1,a. E-rE rd EubiE Co& Tlr codrrd r LiE L& &-E ry,lorolcof
<br />rlE roFt, *,,b trilt o, ,F!€ tlE .n -d wto d€ i.t co{ l ,n*lfd id*llor tk@t! hn d lE oE dtbtt ..
<br />prcvid.d rh.r $ch t ,rovqel! @ er ir.i.d orofrftd 6r.la lt ho*6. dE hrEq r ioFlvqn d i -ld f,{hii oe )d
<br />of@6pb!G UE OwE &rlda wi! hE tlE t!d6 otFvi!3 lha IE r 0. dil Dl bild d iB@ dt F.rdry &. tb. F po..of
<br />-1.
<br />a olc ofdE FDFry, e d.laiEly @d-liir with lts!.d ode6 to dtutu.r E F!j.!, (Se. toaa.l6iE
<br />ald hD&.b. Cod.r ftG Comr..lor.. LrcGe L.w do6 ml .9ply ro b olE of!rcpcrry vho bqil& or ihprov. rh66n.
<br />ed *io oe..t 6. sclt Foiti! eih . co*-rd(, li@.d Fdd lo th. coar-id! tiE* try).
<br />-l
<br />e d6F uldd Sarbn-It.&PC for$!la$n
<br />uq8f,las:caMlElrauo!
<br />DECIIAATO!
<br />I hs!6y rfm 'E& F.ry of Fjuy E oflb 6lb*4 &LttbE
<br />Ih.rrdwillui.j,!.CdifEd.ofco@rrosclalMfor*0116onFMiof,.sFovi{tdlorbySc-rionl?00otrh.
<br />Ilklr ( od.. to rhc Ffon1@. of tht Nd f.r whi.h rh. Fbn a bu.d.
<br />J h& rnd *i[ oidri! *o.ta @op6dioa i6rl,Gc. ! FquiEd bt Setrn ]700 oiilE lrbor C.dc 6. lb. Ffo|rlE. otli. Et b *til Oi pdDn i i-d M, s!n6 oEpc.b. h!E. ct 'E -d poliy rnba G
<br />-l
<br />driry llr b 6. Fbr &otr& m* fd whih thirFan b irar.( I r!.I6r.qbyuyF$n in &ydeE
<br />s a lo bconc &bi}9l !o r,E @ o'oEFlaio. Ls otcrlifonir ,.d BG lhr irl lhourd b..om. sbiccr ro rh.
<br />s.La'onpdlrbaD.Dvirb6ots<rioi1700ofth.lrloC.<Llltuhrti@itrplytvlt[llb.FDvnir.
<br />wAlltING F ila 16 G@ Erl6' @op6.b. @!6C. i' cl*tu| !d rh.l $biGi &.nphF lo 6inid pdri.r ed
<br />civil nn6 op ro oE h@dnd 0!ou$!d &lLB (ttm,(xlo). ir ddnim lo th. or of coiqsa.rior d&I46 ! Fvit a f.r dt
<br />Seion 10?6 of tnc Ldor Co& i, q.r od dlotrry r fs.
<br />UIIIiIUIaTISACIOA
<br />DECIlAAEqd
<br />I h6t$y.lTmu d F.hy of pcjury thn I m li.a'r.d 6(k Fovbbi of Chlpla 9 (@mGi!B eih ScliE ?00{) of Dti.ion l
<br />of lt Buir Dd ttEfai.B Co<lc !d Ey li.aa i n tul foE id .lE r.
<br />LiE. ClDr_L(.cN!mbd:
<br />colErtl&uoa!4DBclc8lcr
<br />I ha&,.rm u!d6 F!.It, of p6ju.,0'r tar i..od!cb! brdiB ecy for rt F&.t!rE otthc El br snEnltir FEi i
<br />itru.d (se. 1097, civ. c.).
<br />ta& rN@
<br />radq r Adrt6
<br /> DPLICANT DECL^{ATION
<br />I h.sy .lfrn uid., pd.xy of Fiury G of rlE fourwiis ddl&d b6:
<br />D@Dhhn PaDi!.-&b.rd tJorifrnbn Hdrl R.tubbE (TnL 40. Prl6)
<br />Rdrutd Lnl. of Noli6.lir
<br />I ca& rh. l!. t (b.l EgddDa !tgrdi!8 .b.io looul G mr elt.6& ro Uir FEid
<br />-l
<br />cdrit $r I Lr r-d rhi. l?liaih rd nn. $i tn. .bo* ilbinrih b .d6l I .8rE ro oql, vit .[ Cn, .d Co!d,
<br />ordiE.c6 0d Srarc lis Elaln8 to of fii. Cny ed Cos.t, ro 6rc l4on tlE
<br />!bor. mtioi.d poF y fq
<br />ADDlttur or ,rrdt Shorlr:
<br />\4
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceplor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipino
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Pipino
<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 t\.1. ,t h
<br />FINAL
<br />Roof Drain
<br />t0\rt\.A uHr6 I
<br />Notes, Remarks, Etc.Ur
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