HomeMy WebLinkAbout0001059-Plumbing (tub & lav)
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Plumber
Due
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I Lol Ho. I Block I Ward I Addilion or Replat
OUTSIDE WORK
NIW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
FIom Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED FEES
I ~¿;J?; ~ - -
Bath Tub ,/ Garbage DIo~ Catch Basins
-
I Wuh Basin 0../' /reV Dlohwashers Conductors
1- - - - -
Wuer CIONt Laundramab Greue Cuch Basins
f--
Sink Wuer Softeners Sump Pump II< Ejectors
WaJer Reue.. Sanitary Bubblers Bar and Soda Wastes
Shower BUhs Urinalo
1-
Floor Dr8lDa Dental Cuspido.. 1-
-
Laundry Tube Service Sinks
Inspections :a2;~:__::~::_:::==: Fee VerUied. Receipted and Recorded Received Permit and Inspection Fees
---------------------------------------------Outside ----------------------------Sewer Fees
-------------------------------------_._--------------Inside -------~----Qš:¿---PIbg. Fees
~~¡:1;t=~=~;.;¡~; $------------------------------------------------- ------------------------ -------i.::'-'-~---Total
------.
$---------------------------------------------------------------------- --------Òiÿ-Tr.;.~r.;-------------------------- Date ;;)~/~?y
In- the performance of this work tha undersigned owner (or hi. authorized agent) of said prem¡.as and his authorized Plumber hereby agree to ba boundan by and
submit to all .tatutes, city ordinances, and rules and regulation. prescribed by the Board of Pu >l1ë)WorJ<. for:-tbe, government of Plumbers.
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