HomeMy WebLinkAbout0001777-Plumbing (water heater)
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I LoJ No. I Block Ward I Addilion or Replal
OUTSIDE WORK
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ot
PI1IJIIber
Date
N~
1777
Naw SEwn WATER STORMS fEES FE" RELAY S. SEWER WATER STORMS fEES
FtOJD MaIn 10 ClU'b Seplic Tanks From Main 10 Curb
FJom ClU'b 10 Building Eleclric Pumps From ClU'b 10 BuUding
Repait
NO.
Bath Tub
Wub BaaID
Water Cloeet
BIrIk
I
Water Heaten
Bhower Batha
n...... Drelu
Laundry Tubo
INSIDE WORK
NEW
Uf.
USED
fI"
NO.
NEW
REP. I USED
FE"
NO.
NEW
REP. I USED
fEES
Garbage Dilpoeals
Ca!cb Basins
Dilhwashen
Conduclors
LaundumaIR
Grease Catch Basins
Water Softenars
Sump Pump" Ejeclors
./
II ,......-
Sanitary Bubblers
Bar and Soda Wasles
Urinals
Denial Cuspidors
Servlœ Sinks
Inspections Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fe"
~~§ J. ~~=====-'""~=,--- / }~~.::
In the performance of this work Ihe undersigned owner (or his aulhorizad agent) of said premises and his authorired Plumber hereby agree to be bounden by end
submit 10 ell statules. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbars.
It Is luther agreed by the und'!.fsigned that no olher uses will be mede of the above connections excepl as hereineller lisled.
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