HomeMy WebLinkAbout0001837 P
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Plumbe.
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I Lot No. I Block l Ward ____l Addüion or Replat
OUTSIDE WORK
Date
NOW SEW" WAtER STORMS fEES FEES RElAY S. SEWER WAn. STORMS fEES
F...... Mein to ClUb Seplic Tanks Fmm Main to Curb
nom ClUb to BuUdlnll Electric Pumps From ClUb to Building
Repair
L
..z.
2-
I
1-1
-L.
~
INSIDE WORK
NO.
NEW
REP.
USEO
NEW
.EP. I USEO
FEES
NEW
FIES
.EP.
USEO
1<0.
FlES
NO.
Bath Tub
¡/
./
¡/
/,-
~
~
/-
Catch Basins
Goobage DIs~
Dlshwahen
/~
,./
Conduclors
Wub Bain
G..... Catch Balnl
Laund...mais
/-
Wai.. Cl_t
..---
Sink
1--
f/
Waie. Softeners
/
Sump Pump 8< Ejeclors
.....
¡/
WaiN Heate..
L
sanUuy Bubhlers
Boo and Soda Wales
Show.. Baths
/-
u-
n.... Doalu
Denial Cuspido..
Launcky Tubs
Service Sinks
;~~~=::==::==~::::::::==:::::~~:: J I :~R;;;7-~..=:r.::.:::=-=:
0
Fee Verified. Receipted and Recorded
Received Permit and Inspeclion F...
--..-.-...................--50wer Fees
_......L&..PQ...plbg. Fees
i,~;:j;*7ï;/
.......-.....-.-..-....----...--.-.--....--.-...-.-
......-.-.......--....-.-.--...-....-...-.........-...
C;ty T.....,.,
------.-....-...-.-----Fina1 OK
$-........--.-.........--.-.-...--.-...-. .......--.-......-........--..-
In the performance of this work tho undersigned owner (or his authorized agent) of said promises and his authorized Plumber hereby agrae to ba boundan by and
submit to all statut.s, city ordinances, and rules and regulations prescribed by tlte Board of Public Works for the government of Plumbers.
It Is futh.r agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
....J4~-.-