HomeMy WebLinkAbout0009576 P
~
)
)
R.....
of
Plum!>er
---~---- p Ž ñJ~T-_O~h{j~;~.n~ /2~:;~~~-
I Lot No. b I Ward I Addition or Replat
OUTSIDE WORK
Dat.
NEW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID 10 Curb Septic Tanks From Main 10 Curb
FIom Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
.
INSIDE WORK
NO.
NEW
REP.
NO.
REP. I USED
FEES
FEES
NO.
NEW
REP.
USED
USED
FlES
NEW
Bùb Tub
Garbag. Dilpools
Catch Bum
Wub Bum
Dishwuhen
Conducto..
Wat.. CIONI
LaundrlUll&ll
Greue Catch Bum
--
Sink
Water Softene..
Sump Pump" Ejecto..
Water Heaten
7
Sanitary Bubble..
UriDals
Bar and Soda Wutes
LI)-tJ
Show.. Bùha
FlOO1' DralDs
Denial CuRpidon
Launœy Tube
~~:~:~=::=:=::=~::::::::==::::::o;~~:
Se1"riœ Sinks
Fee Verified. Receipted and Recorded
Valuaiion of the Work Herein Described
'ð-ð 00
$ no' n m mJ. m.n m mh :=hm m"n' .'" n-.. _om mmh m
.
Received Permit and Inspection Fees
m-"""'___hhmu_-mSewer Fees
::::::::2:~::::~: Feel
Date /0 - ý- 7{¿,
----------.-----_u_u--FinaI OK
$ mummm '_m'_' _m- m .muuu m uuu_mmmmm_' __000
um umuuuuum-Ci;yuT;~.;;.;._u._m-m_m_"_hm
In the performlnce of thi, work the undo..igned ownor (or his authorired agent) of ,aid promisos and his authorized Plumbor horoby agroo to bo boundon by and
submit to all ,tatutos, city ordinances, and rules and rogulations prescribed by tho Board of Public Wor s for the government of Plumbo...
It Is futher agroed by tho undorslgned that no other uses will bo made of tho above connections ox 0 t as hereinafter Ii,ted.