HomeMy WebLinkAbout0001311-Plumbing (interior)
\
I
\J
~
)
ø.....
of
Plumber
~-~__PŽ¿~M~;::::~~~~ t6~_c~~tl
I Lol No. I Block I Ward I Addition or Replal
Date
OUTSIDE WORK
NEW SEW" WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From Main to CW'b Seplic Tanks From Main to Curb
........ CW'b to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW REP. USEO FEES NO. NEW REP. USEO FEES NO. NEW REP. USEO FEES
~
/ Batb Tub /' 1/;"" / Garbage Dispoll8!s ./ (,r Catch Basins
-
r Wub Basbs ,/ 12-;"" Dishwashers Conductors
- - ~ - ~
7" W- CI_I ./ ,.: / Laundrama.18 .,,/ 1/--- Graue Catch BasiDs
{ SInIs /' 1/.--- Water Softeners 1/ Sump Pump" Ejectors --- I~
f Water Heaters 1/ ¡--- Sanitary Bubblers' Bar and Soda Wastes
I Show.. Baths ,/ /;"" U rinais
/ n...... Drailla ,/ ./ Dental Cuspidors
I ~
Laundry Tube Service Sbsks
I...pecIions ::ï:L;;Z: n::r.::. ::~=:: Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
Egt:=;;:lï.;¿I~Z=::=:: ":..~:: nnnn.nn.nn.nnn.nSewer Fees
.mn¡..2,.P.PmPIbg, Faal
$. n nnn nnm mmm mn n nn..."n" m nmm. "nn nnnmm. D~~:1~Ä7;/
=z.7~=;l-1,~=::==:=;~-~; $nnnmnn nnnnmmmmm.m n'mn n" nnnnn nm.nnn- n mn mnmn... nnn ë';¡:¡ T ;;;;;;;; .nnmn.. m "'mmn
In the performance of this work the undersigned owner (or his authorized agent) of said premis.s end hi. authorized Plumber hereby egiee to be bounden by ond
.ubmlt to ell statutes, city ordinances. end rulos and rogulation. proscribed by the Board of Public Works for the government of Plumber..
hereinelter listed.
\./
.nmn...n'".nnm..n