HomeMy WebLinkAbout0001058-Plumbing (sink & dishwasher)
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
Naw SEwn WATER STORMS FEES FEES RELAY S. SEWER WAY" STORMS fEES
From MolD to Cvb Septic Tanks From Main to Curb
From Cvb to BlIild1ng Electric Pumpa From Cvb to Building
Repair
INSIDE WORK
NO. NEW RIP. USED RES NO. NEW REP. USED fEES NO. NEW REP. USED FEES
- - - -
Beth Tub Garbage DiIpooabo Catch Basins
I------
Wash Basin / Dishwashen ..-- V,ðD Conductors
- - - -
Water CIONt LaundrlUlL8b Graue Catch Basins
.../V -
f- SIIIIo: (tV Watar Softeners Sump Pump I< Ejectors
Water Heaten Sani1ary Bubblers Bar and Soda Wastes
Shower Baths Urinals
Floor ])raIDs Dental Cuspidors 1-
-
Leundrr Tube Service Sinks
IDipections :td3. .~~:--= ~~:--:: ~:: .::::.:: Fee Verified. Receipted and Recorded Received Permit and Inspection F...
-...-----.......-.......................--........Ouuide ------.----................Sower F...
............--........................................--..wide .m..?-.c..~----P1bg. Fee.
$.............................................--.........................-- D~~:?~~;--;~
~=~=~~~~~~-~; $......--..............-......--................--....-..........---...- "'--"'--"""'.".--C-;.¡Tr&.;,';;ë;"."'--""".."'----".
In the ~rformance of thi. work the undersigned owner (or his authorized agent) of said prem}séŠ nd r~, a~t:.rir~J:umber hereby agree to be bounden by end
.ubmit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public/Worl ¡ '/for he. vernme t of Plumbers.
It Is futher agreed by tlJY'ý,(dersigned that no other uses will be made of the above connectij»Ìs ".tep .~ herein,"er listed.
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