HomeMy WebLinkAbout0001127-Plumbing (laterals)
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Dalo
NEW SIWEI WATER STORMS FIES FIES RllAY S. SIWIR WATER STORMS FEIS
From MaID. to Curb Septic Tanks From Moin to Curb
!'\rom Curb 10 BuDding ¡::;,R<. / i,¡ Ill? < ~ Electric Pumps From Curb to Building
.,
Repair
INSIDE WORK
NO.
NEW
REP.
RIP. I USED
FilS
FEES
NO.
USED
FIlS
NO.
NEW
NEW
RIP.
USED
BaIb Tub
Gubago DilpooaIs
Catch Basins
f----
Wash Basin
Dilhwasbon
Conducto..
Water CIONt
Laundramai8
Gre... Caleb Basins
f----
Sink
Water Softono..
Sump Pump Ii: Ejecto..
Water Hoators
Sonilezy Bubblers
Bu and Soda Wastes
Shower BaihI
Urinals
Floor Drains
Dental Cuspidors
Laundry TubI
Service Sinks
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In the performance of thi. work the unde..igned owner (or hi. authorized agent) of .aid premises and hi. authorized Plumber hereby agree to be bounden by ond
.ubmit to all .tatutas, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbe...
the undersigned that no other u..s will be made of the above connections except as hereinafter listed.
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PLUMBING PERMIT APPLICATION
PLUMBER DATE
NAME OF OWNER //
ADDRESS ,..,...„72,23 _ice . _ „,,,,,ww..if
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sv---e-ci 0 3 -.2 3-
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NEW SAN. WATER STORM RELAY SAN. WATER STORM
Main to Curb Main to Curb
Curb to Bldg. Curb to Bldg.
Elect. Pumps Repair
Septic Tanks
NEW REP. NEW REP. NEW REP.
Bath Tub Gar. Disposal Catch Basin
Wash Basin Dishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink Water Softener Sump Pump
Water Heater San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors Future Outlets