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Plumbing
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Gas
Irrigation
MSPH2O

About
Locations
Construction
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Financing

Rough In

Date
Contractor
Job Site
Time in HHMMAM/PM
Time Out HHMMAM/PM
Plumbers
Helpers

Completed Items

Pipe Type *
CPVCUponorEvo Pex
AC Chase/ Condensation Line *
YesNo
Ice maker line in & staked *
YesNo
Check hose bib location *
YesNo
Armaflex as needed *
YesNo
6" sleeve in footers *
YesNO
Pipes safed in *
YesNo
Water in PVC stack *
YesNo
Cold lines tested *
Did you run water through cold lines to test?YesNo
Leak at jumper *
YesNo
Test Gauge *
YesNo
Tub & Shower Boxes *
YesNo
Trash picked up *
YesNo
Measurements verified *
YesNo
# of hosebibs used *
Water Source *
WellMeter
Size *
3/4 Inch1 Inch1 1/4 Inch
# Ft *
Waste System *
SepticSewer
# ft *
If not complete, why?

Notes

Name *Form completed by?
Photo 1
Photo 2
Photo 3
Photo 4

Verification

Please enter any two digits *Example: 12
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Serving All of Florida

Ocala
352-237-2888

The Villages
352-748-9111

Crystal River
352-563-9976

Inverness
352-344-0322

Gainesville
352-448-4881

Hawthorne
352-448-4880

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