HomeMy WebLinkAbout0001105-Plumbing (water softener)
..-.v
')
,-)
z. ~----~---_Pz~;:Æ:Mw~'o:ã9/nø~~Ld~~ -\'
I Lot No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Due
NEW SEWh WATER STORMS FEES fEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic TaDks From Main 10 Curb
FI:om Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
RIP.
USID
FlES
NO.
NEW
REP. I USEO
FEES
NO.
NEW
REP.
USED
fEES
_Tub
Gltbaga DilpoaaIa
CUcb Bulns
Wuh Buln
Dilbwuhars
Conduclo..
Wu.. CIOl8I
Laundramab
Graue Cuch Basins
f--
Sink
I
v
Sump Pump" Ejeclo..
Wuar Soften...
!/,òVl
WÛ8r Reue..
Sanilary Bubble..
Bit and Soda Wasles
Show.. BUhs
Urinala
noar DraIDa
Denial Cuspido..
Laundry Tubs
;?~~=::==:::::=:::==:=:=::::::o;.=~:
Sen;.,. Sinko
: a6;;2 Z-.::::..:: :::.::::::
e
Fee Verified. Receipled and Recorded
Received Permit and Inspecllon F...
.........................Bewer Fees
..I£...Ø2.....Plbg. F..s
D~~./,~..;/~I~ f
-
---....--.-.....--...-..---Flna1 OK
~
""""""""""Ciiÿ'Ÿ;;;;""';"""""""""""""
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
~e undersigned that no .other uses will be made of the above connection n