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PLUMBING AFFIDAVIT DATE PERMIT # STATE CARD # SEWER LINE WATER LINE SLAB CONTRACTOR SUBDIVISION ADDRESS LOT # This affidavit is for the installation of plumbing at the above location. I/we (contractor) understand it is my/our (contractor) responsibility to insure that the installation is in accordance with the current edition of The International Plumbing Code as adopted by DCA. The City of Cartersville is relieved of all inspections and liability for damages, loss of property or cost due to improper installation. Business Name & Address Notary Public (Seal) Signature NOTICE: Per Sec. 24-6 City of Cartersville Code of Ordinances a tracer wire is required in all underground utilities that are nonmetallic. P.O. Box 1390 10 North Public Square Cartersville, GA. 30120 Phone: [PHONE REDACTED] www.cityofcartersville.org