HomeMy WebLinkAbout0001009-Plumbing (laterals)
~
~)
z.. q,~~-t~P~~";.'~:.:å -Lk-"4<~~-~c
I Lot No. b I Ward I Addiiion or Replst
OUTSIDE WORK
7
Date
Naw SEW" WATER STORMS 'EES FEES RElAY S. SEWER WATE. STORMS fEES
From MaIn to Curb ¿. Septic Tanks From Main to Curb
FIom Curb to BoUdlng L./ /. (I /"t!./ ¥tJ.-ò Electric Pumps From Curb to BuUdlng
Repair
INSIDE WORK
NO.
"P.
USED
NEW
FlES
NO.
NEW
REP. I USE.
FEES
"0.
NEW
REP. I USE.
"'S
Batb Tub
Garbage DilpooaIs
Catch Basins
I-------
Wub Basin
Dishwashers
Conductoro
Watar CI_t
Laundr-
Greue Catch Basins
f--
SbI1o:
Water Softeners
Sump Pump" Ejectoro
Water Heaten
Saniiery Bubblers
Bar and Soda Wastes
Shower Baths
Urinals
Floor Dralu
Dental Cuspidors
!-----
Laundry Tubo
~~==~=::==:::::=:::=:=:=::::::o;.=~:
Service Sinks
Valuation of the Work Herein Described
$md1dl2..~..~.......................................~
$.
.
Fee VerUied. Receipted and Recorded
Received Permit and Inspection Fees
........~.~.~...Sewer F...
:::::::::~:~:~:; Fee.
Date l-tj.7f
"""""""'Clíÿ'T;;;¡;~;¡;;"""""""""""""
-..
.................---Fina1 OK
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinaner listed.
=~~=.::.::~:~ð~~.:.::::::.:...:::::::::'.::..:~........
....~~......./~....-