HomeMy WebLinkAbout0001810-Plumbing (laterals)
~r
)
~L__PŽBZ~;~h':=:;.. ~l~~l~
I I I / I I
Dale Lot No. Block Ward____- Addilion or Replal
OUTSIDE WORK
NIW ,"WER WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
F...... MaIn to Curb Seplic Tanks From Main to Curb
!'10m Curb to BuUcIIDg ./ ¡,/' ~ Electric Pumps From Curb to Building
Rapair
INSIDE WORK
NO. NEW RE'. USED FI'S NO. NEW RE,. USEO FEES NO. NEW RE'. USED fEES
~ - - ~
BaIb Tub Garbage DIopooaIs Caleb Bulns
I------ ~
Wuh BuiD Disbwub... Conducto..
- - ~ - ~
Waler CIONt Laundramall Grease Caleb Bulns
-
SbIk Waler Softeners Sump Pump" Ejecto..
Waler Heale.. Sanitary Bubble.. Bar and Soda Wutes
Shower Balbi UriDala
nocr DraIDs Dental Cuspido..
Laundry Tubo Service Sinks
~:=-~:_--------_.._------.._._---____Outside J Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe"
$-?")Q--~---_.-------------._.._--------------- __.---:3.LC!:9.__.Sewer F...
-------.c_--------.---...---------..-------..-_._-----Ins¡de ~~í1i?
~----'---III-l~~~-~; $--- -------------------------- .--.-----------------------.-.----.----
---- ---------'----'ëíiÿ-T;~;'~;~;--------"----'-----'-----
$--------..--------------------------------..-----------.---------------
In /the performanc~ of this work the undarsigned ownar (or his authorized agent) of said premises and his authorired Plumber hereby agree to be boundan by ...d
submit to all statut.., city ordinances, and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers.
undersigned that no other uses will be made of the above connections except as hereinafter listed.
-----d¿_l~
~:-=-