HomeMy WebLinkAbout0001614-Plumbing (lateral)
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I Lot Bo. I Block I ward~_J Addition or Replat
OUTSIDE WORK
Dat.
NEW SEWn WA'ER STORMS fEES FEES RELAY S. SEW'R WATER STORMS fEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 Building V /' ~ Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
RE,.
"ES
NEW
NO.
USE'
FEES
NEW
RE'.
RE'. I USE.
FEES
USED
NO.
Bath Tub
Wub Buin
Garbage D~
C- Buins
Dishwuhen
I~
Conductora
-
Wuer CIONI
LaundrlUllAlA
Grease Cuch Buins
f--
Sink
Water Softenera
Sump Pump Ik Ejectors
Waier H.u...
Sanitary Bubblers
Bar and Soda Wules
Shower BathR
UriDals
Floor Dr8iDI
Denial Cuspidors
Laundry Tubo
Senice Sinks
Valualion of Ihe Work Herein Described
$ ~ ¿::!-5JJ. -~~ ~~ ~ ~ ~~ ------~ ------------ - -- ------ - --
$-
0
C;ty ,""'u,..
Fee Verified. Receipled and Recorded
Received Permit and Inspeclion F...
-------,,;r;_~---Sew.r F...
----------('1P-----Plbg. F..s
D~;:---:::!hr
I...pactions
-------------------------------------------_----Oulside
------------------------------------------------------Inside
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In 'the performance of thi. work the undor.igned owner (or his authorized agent) of said premises and his authorized Plumber hereby .gree to be bounden by ond
submit to all statutes. city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
that no other uses will be made of the above connections except as hereinalter listed.