HomeMy WebLinkAbout0000989-Plumbing (water heater)
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I Lot No. I Block I Ward I Addüion or Replal
OUTSIDE WORK
Dale
NOW SEwn WATER STORMS FE" FE" RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
Flam Curb tD Building Eleclrlc Pumps From Curb to BuUding
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
FEES
FEES
NO.
REP. I USED
NEW
REP.
USED
USED
FlES
NO.
Batb Tub
Garbage DII~
Catch Bulns
Wash Buin
Dishwuhen
Conductor.
Wat.. Cl_t
Laundramatl
Gre... Catch Buins
f--
Sink
Water Softeners
Sump Pump" Ejeclors
/
1I,ov
Sanitary Bubblers
Bar and Soda Wule.
¡..../
Water Heaten
Show.. Baths
Urinall
Floor Drains
Laundry Tubs
Dental Cuspidors
Service Sinb
Inspections ..........---.---Ouilide
~:~::::=:::::::=::=::=::=::=::...---.............Jnside
Valualion ~~e Work Herein Described
$.;;;:t29~.....---...............................---,
$......---......................---..........................................
$------..---.............---.....---......---...---..---......---............
Fee Verified, Receipled and Recorded
Received Permit and Inspecllon Fees
............... ..........Sewer Fees
.../~...:tQ..---..Plbg. F..s
.....,L~..ç¿z¿.........Total
Dale / ~6 ~ 72
...........".....---......".............."........
-..---.---.............--Final OK
City T.."u,.,
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agr.. to ba boundan by and
submit 10 all statutes, city ordinance., and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by"Jhe undersigned that no other uses will be mede of the above connections except as hereinafter listed.
..........~...
Plumbo,