HomeMy WebLinkAbout0001573-Plumbing (fixtures)
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I Lot No. I Block I Ward I Addiiion or Replal
OUTSIDE WORK
Date
NOW SEWEll WATER STORMS fEES fEES 'ELAY S. SEWE' WATE' STORMS FEES
From MaIn to C...b /S'f F /..- Septic Tanks From Main to Curb
F1'om Cwb to Building /s" vß{. -'-' Electric Pumps From C...b to Building
Repair
INSIDE WORK
110.
NEW
USED
NEW
'EP. I USED
"O.
fEES
"EW
.EP.
USED
FEES
NOS
NO.
UP.
Beth Tub
Ge:rbage Dla~
11-
9'
I---
r
Cùc:h Basw
,/
+--
3'-
.5-
Wash Baain
IF
Dishwashers
Conductors
,/
.3
.s
L
L
,/
./
Grease Catch Basw
Laundr8!l1Ø.ttl
Wate:r Clooet
f--
/---
r-G
Water Softeners
Sump Pump" Ejectors
Sink
¡--
'~
--
¡/
.,/
Be:r and Soda Wast..
Saniiary Bubblers
Urinals
Water Heaters
Shower Bath8
q
C¿'"
¡/
Dental Cuspidors
noor Dr"'"
Laundry Tube
I
,/
/-
Se.vice Sinks
Inspections -_m_____Oulllide
~=:::::::::::==::=:::::::=:::::_-------____InSlde
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Fee Verified, Receipted and Recorded
Received Permii and Inspection Fees
---.§._ðxJ.----Sewer Fees
-3[JLPQ_Plbg. Fees
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C;ty T,...u,..
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In the performance of this work the undersigned owner (or his authorbed agent) of said premises and his authorized Plumber hereby agree to bo bounden by and
submit to all statutes, city ordinances, and rule. and regulations prescribed by the Board of Public Works for the government of Plumbors.
It Is futhor agreed by the u l~orsigned that no othor usos will be mede of the above connoctions ex50pt a,
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