HomeMy WebLinkAboutPLBG2016-3647CITY OF GRAPEVINE PWS ID# 2200013
WATER CUSTOMER SERVICE INSPECTION CERTIFICATION
DATE: R_,( . Zd 1 So BUILDING
ADDRESS:
PERMIT #
3 Z ( D (( -Fr ece
SWIMMING POOL
IRRIGATION
WATER HEATER
PLUMBING
I hereby certify that I have inspected the water supply system at the above referenced address. To the bt of my
knowledge, the materials and methods used in the installation of this system comply with all laws of the State of Texas
relating to plumbing that are required to be enforced by municipalities, and the plumbing code adopted by the City of
Grapevine. Plumbing regulations are contained in the City of Grapevine Code of Ordinances Article V (Ordinance
number 2007-36) and Article VIII (Ordinance number 2007-36), and any and all subsequent related ordinances.
In addition, to the best of my knowledge, no cross connection exists at this address at the time of inspection.
SIGNATURE OF INSPECTOR
)9
LICENSE NUMBER
O:\forms\waterservinsp, 05/01
Revised: 7/23/14
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