HomeMy WebLinkAbout0001080-Plumbing (water heater)
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Plumber
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Ll.oIB_OO I Block I Ward I Addition or Replat
OUTSIDE WORK
------------------..
1080
Date
Naw SEW" WATE. STORMS FEES FEES .EIAY S. SEWER WATE. STORMS fEES
From MaiD to C...b Septic Tanks From Main to Curb
,....,.. C...b to BuDding Elecuic Pumps From C...b to Building
Repair
INSIDE WORK
NO.
..,.
USED
NEW
"ES
NO.
NEW
.EP. I USED
FEES
NO.
NEW
.EP.
USED
FEES
Bath Tub
Garbage Di8pooa]o
Catcl1 Basins
Wuh BulD
Diabwashen
Conductors
Water CIOI8t
Laundramala
Gre... Catch Basins
f--
Sbsk
Water Softeners
Sump Pump" Ejectors
J
,/'
Bar and Soda Wastes
too
Water Heaters
Sanitary Bubblers
Shower Baths
Urlne1s
noar Drlllnl
Dental Cuspidors
Laundry Tubo
Iupect1ons -_m_----Oulside
~:~::::~::::=:===: :=::: ~~~~:::=------_____Inside
Service Sinks
Valuation ot the Work Herein Dascribed
$c52tt~-----______mm__--___------______mm-
.
Fee Verified, Receipted and Recorded
Received Permit and Inspection F...
U_uu_muu _m_----Sewer F...
__m_/_I_u~_umPlbgo F..s
-um/L~__m--Total
Date ;;;J -4.- '7 r
--_m_;ls777-=:;~m~;
.
u_--u_-____-_mC;¡Y-T,..;~;;;;--____m.__-.----.m___-
-In the performance of this work the undersigned owner (or his authorized egent) 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.
undersigned that no other uses will be made of the above connections except as hereinaft"" listed.