HomeMy WebLinkAbout0000994-Plumbing (lateral)
z. ~~-_PŽB;¿ ~~.~:¡..:..~ ~ÚL:~~~
~"
[ Addition or Replat
I Ward
I Lot No.
Date
OUTSIDE WORK
NEW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID to Curb Septic Tanks From Main to Curb ./
FJom Curb to Building Electric Pumps From Curb to Building /'
Repair
INSIDE WORK
NEW
REP.
USED
FEES
FEES
NO.
REP. I USED
NEW
NO.
UP. I USED
FlES
NEW
110.
Catch Bu1ns
Garbage DiIposa1I
BathTub
Conductors
Dilhwuben
Wub Buin
Gre... Catcb Bulns
Laundramùl
Water Cl_t
I-
Sump ?ump 8< Ejectors
Water Softeners
Sink
Bar and Soda Wutes
Sanitary Bubblers
Water Heaters
I--I-~-
Urina1l
Shower Baths
Denial Cuspidors
F1oœ DreIDs
Laundry Tubs
Senica Sinks
Received Permit and Inspection F...
n./.-nOOnnnmSewer F...
..mmn..n....nmmnPlbg. Fees
._/L.¿2Ç¿...........Total
Date / -6.-:::?&
Fee Verified. Receipted and Recorded
Valuation of I~.k Herein Described
$_-/963._~.m..m......--......_...m.m........-
.
~~==~~=::=:==::=::::::::==::=::o;:::
-"~¡~?7'-.._._-F1na1 OK
-.......--..---.._...m.m"""""'--"""'m--...
.-..--.
City T,..",.,
.
Tnt"~ performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
the undersigned that no other uses will be made of the above connections except as hereinafter listed.
----....--.~::..._.........