HomeMy WebLinkAbout0009046-Plumbing (repair sewer)
~
)
)
z. ~-4~_P~~T;:._~ ::.it .L7sß-t~~.
I Lot No. b I Ward I Addilion or Replat
OUTSIDE WORK
Date
NSW SEW" WATER STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
From MaIn 10 C.ub Septic Tanks From Main 10 Curb
From C.ub to BuDding Eleclric Pumps From C.ub 10 BuUdlng
Repair V' /.v-O
INSIDE WORK
NO.
NEW
NO-
NEW
REP. I USED
NEW
FEES
REP.
USID
FEES
"0.
REP.
USED
FEES
Bath Tub
Garbage Dlspol8!s
Catch BulDs
Wub Buin
Dilhwuhers
Conduclors
Water Cl_1
Laundramals
Gre... Catch Bulns
f--
DIDIo
Water Softeners
Sump Pump Ik Ejectors
Water Heaten
Sanitary Bubblers
Bar and Soda Wules
Shower Baths
Urineis
Floor Do8lDa
Denial Cuspidors
Leundry Tubs
~:~::_---------------------------_____Oulside
Service Sinks
Valuation of Ihe Work Herein Described
$---~I(¿--,__":!._-----------------------------------------------
Received PermU and Inspection Fees
-----.l:---"'='_-----Sewer F...
----------------------------Plbg. Fees
-----_.I:_--~______Tolal
Date ...3- /..2- 7 Þ
Fee Verified. Receipled and Recorded
------------------------------------------------__----Inside
.
------------
-------------------------------------------------------
City T,...u",
--------
------------
-F1ns1 OK
e
In the peñormence "f this work Ihe undersigned owner (or his euthorized agent) of said premises end his authorized Plumber hereby egree to be bounden by end
submit t" all statutes. city "rdinances. end rules and regulations prescribed by the B...rd of Public Works for the government "f Plumbers.
It Is futher egreed by the undersigned thet no other uses will be made of the above connections except as hereinafter listed.
=~~~~~_::-:::-----------...------------------
~a:àd---- O--,9J.JrkId£!-u'-
-----~"'--- ~mbe' r;¡