HomeMy WebLinkAbout0001736-Plumbing (fixtures)
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I Lo.I No. I Block I Ward I Addition or Replot
OUTSIDE WORK
Dale
NAW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to C...b Septic Tanks From Main to Curb
From C...b to BuUcllng Electric Pumpo From C...b to Building
Repair
INSIDE WORK
NO.
NEW
..,.
NO.
RE,. I USE. I FEES
FEES
NO.
NEW
NEW
REP.
USI.
USED
...S
B8.Ih Tub
Garbage DÙI~
Dishwashers
Conducton
f-----J
C8.Ich Buino
Wuh Basin
Wilt.. Cl_t
I
¡--
;----
..-/
Greue Calch Basins
LaundramatR
SIDIo:
Wal.. Softenen
Sump Pump it Ejecton
-,
L
¿r
I
II
¡/
Shower BIItho
Urinals
F
Sanitary Bubblan
Bar and Soda Wastes
WaIH H.aI...
I
v
Dental Cuspido..
I/~
n- DrÙ118
Laundry Tube
Service Sinks
~:~.":........... .... ...... ....Oubide .ta~ ~Work Herein Described Fee Verified, Receipted and Recorded R~e.i:~d..~.e~=~.S:':e:n;,:lion Fees
~==~~~..::!!¥~~::::~......~~ :.""............'........~...........:.:.~:::::::::~:=:...::::::~::: """""""'Ciïÿ'T;~;~;;~;""""""""""""" t:~~:::::::; Fee:
-/6)7i-~il.~~inal OK $........................................................................n Dale /;7z?þ~
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In the Perlormsnce of this work the undersigned owner (or his euthorired agent) 01 said premises and his author ired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinance., and rules and regulations prescribed by the Soard of Public Works lor the government 01 Plumbers.
It i. luther agreed by ¥a);ndersigned that no other \I.'" will be made 01 the above connection. except as hereinalter listed.
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