HomeMy WebLinkAbout0001413-Plumbing (water softener)
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of
PIUJDber
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L~ot Ro. ----J__BIOCk I Ward I Addition or Replat
Date
OUTSIDE WORK
NOW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Eleclric Pumps From Curb 10 BuUcüng
Rapair
INSIDE WORK
NO.
NEW
fEES
RE'.
USED
FlES
NO.
NEW
REP. I USED
FEES
NO.
NEW
REP.
USED
--,-
Bath Tub
Garb8 e Dispoaala
Catch BaslDs
Wuh Basin
Dishwashan
Conducto..
Water CI_t
LaundrlUl1&b
Sump Pump Be Ejeclors
Gre... Catch BaslDs
SIDk
Water Softeners
Water Heaters
Sanitary Bubblers
Bar and Soda Wastes
Shower BathR
UriDala
Floor Dralu
Laundry Tubs
Denial Cuspidors
Service Sinks
::5~~:~--:::::_:::=::
$......----'_--mm____._m_----m__----_--__--m------___--m--------
Fee Verified. Receipled and Recorded
~:~":_.__._----------------___--Oulside
Received Permit and Inspection Fees
----_mmm--m----Sewer Fees
_m_--/c_Ç"9_--Plhg, Fees
_--m_LLæ:-9----'I»lal
Date ?ß
$--m---
---------c-.¡:¡ÿ¡:;;;-;;;;--_--m__------_---------
In' the" psrformance 01 this work the undersigned owner (or his authori2ed agent) of said
submit to all statutes, city ordinance., and rules and regulation. prescribed by the Boord of -"'bUc
It is luther agreed by the undersigned that no other uses will be made 01 the above co