HomeMy WebLinkAbout0001629-Plumbing (laterals)
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I La! No. I Block / / I Ward ---_J Addition or Replat
OUTSIDE WORK
1629 i
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Date
NOW SEwn WAtER STORMS FEES FEES REOAY S. SEWER WATER STORMS FEES
Fzosn MaIn to CW'b V --- Septic Tanks From Main to Curb
Fzosn CW'b to BuDding ¡./ ~ 4.0Ìi Electric Pumps From CW'b to Building
Repair
INSIDE WORK
NO.
NEW
USEe
NO.
NEW
FEES
USED
FEES
tlO.
NEW
REP.
REP. I USED
REP.
FlES
Bath Tub
Garbage Dioponb
Diohwuhen
Catch BuiDs
I----
Wuh Buin
Conductors
Water Cloeet
Launclr-
Greue Catch Bulna
f-----
SiIIIo:
Water Softeners
Sump Pump" Ejectors
Waler Heaten
Sanitary Bubblers
Bar and Soda Wut..
Shower Balba
Urinals
I~=- C-+-~
Floor Drains
Dental Cuspidors
Laundry Tubs
Service Sinks
Impactions Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
~~~ . ~~=~=~~ .--0"...--- ~~;§7
In the performance of this work tho undersigned owner (or his euthorbed agent) of said premises and his authorired Plumber hereby agree to be boundan by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
'dersigned that no other U50S will be made of the above connections except as hereinafter listed.
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