Information
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Document No.
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Conducted on
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Property Address
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Type of Work
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Pipe Size & Type
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Water Test Applied
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Service Separation
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Pipe Lagged Trough Concrete / Footings
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Correct Fall On Installed Pipe
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Non-Compliant Issues
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Non-Compliant Photos
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Installation Photos
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Inspection Outcome
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Plumbing Inspection Notes
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Plumber/Practitioners Name