HomeMy WebLinkAbout0001764-Plumbing (water heater)
~
)
0
Z. -LßL_---_Pž¡::Z;~;"O.';- L~~~~-
I~ L_ot~ 111"'--- v I Block I Ward I Addition or R~lat
Date
OUTSIDE WORK
NIW SEWEI WAtER STORMS FEES fEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Sepiic Tanks From Main to Curb
J'!¡om Curb 10 BuDding Electric Pumps From Curb to Building
Repm
INSIDE WORK
NO.
NEW
..,.
NEW
FEES
RE,. I USED
FEES
NO.
USED
RES
NO.
NEW
REP.
USED
Bath Tub
Garbage DilpooaIs
Catch Bulns
Wuh BulD
Dilhwuhers
Conductors
Water CI_t
Laundrama.i8
Gre... Catch Bulns
I--
SbIk
Water Softeners
Sump Pump" Ejeclors
-1-1
/~
Bar and Soda Wastes
SeniI..., Bubblers
Water Heaters
,/'
ShowerBathI
UriDa1E
nOO1' Dre1D8
Dental Cuspidors
Laundoy Tub<
IDllpections ......Oullide
~:~:=:=:::::::==~::~~:=::::::::::::==----.--.IDIIlde
Senice Sinks
~ ::?¡S:~:~:--=:~::.::::~=:
$~
.
City T,oo"'"
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
~mmm----------m--mSewer F...
J ~mmh--qp--..mPlbg;7Fees
------/~--~~----Total
Deie Ic2h/7
~-~--.~--m----m--------m--mm--.----.----~~--...----
-
--...._._.mm_--_--Fina1 OK
In the performsnce of this work the undersigned owner (or his euthorired agent) of said premises and his authorized Plumber hereby agree to Le bounden by ond
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
Igned thet no other uses will be made of the ebove connections except as hereinefter listed.
m~--mæ'h2(~~m----m----m~m----~.m-