HomeMy WebLinkAbout0001444-Plumbing (kitchen & bar sinks)
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I Lot No. I Block I Ward I Additi,,-n or Replat
OUTSIDE WORK
Date
NEW SEwn WATE. STORMS FEES FEES .ELAY S. SEWE. WATE. STORMS "ES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
110.
NEW
..,.
NO.
"ES
NO.
NEW
.E,. I USED
FEES
NEW
USED
"ES
.E'.
USED
Batb Tub
Garbage DÏ1pDA18
Catch Bulns
I---
Wuh BuiD
Dlshwuhon
Conductors
Water Cl....
LaundrlUDatJl
----
Greue Catch Bulns
-1-1
I ¡--
./
Wate~ Softeners
Sump Pump 81: Ejectors
SIJIk
Water Heaten
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
Urinals
8d£ S//~
¿/
L
v
n..... ])raIDs
Dental Cuspidors
Laundry Tubs
~~~:~=::==:==::::::::=:=:::::~o;:.:~:
Service SiDb
Fee Verified, Receipted and Recorded
Valualion of the Work HereiD Described
$~Z)..~......................._....................
.
Received Permit and Inspecllon Fees
.........................Sewer Fees
m....:2".P..V......Plbg. Fees
.....e:z~.1fi>......Total
Date ð-'¡';¡/?ð"
....
...............................................................
City T.."""
--....---.-.-.......-..---Final OK
$..-........................... """""""'.-..-............"-".
In th performance of thi. work the undarsigned owner (or hi. authorized agent) of .aid premise. and hi. authorized Plumber hereby agr;;!; be boundan by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works f~r the government of Plumbers.
It is futher agreed by tho undersigned that no other U5O. will be made of the above co