HomeMy WebLinkAbout0000689-Plumbing (water heater)
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I Lot No. I Block I Ward I Addüion or Replat
OUTSIDE WORK
Date
NEW SEWEI WArER STORMS FEES FEES RElAY S. SEWER WArER STORMS fEES
From Main 10 Curb Seplic Tanks From Main 10 Curb
~m Curb to BuDding Eleclric Pumpa From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED RES NO. NEW REP. USED FEES "O. NEW REP. USED fEES
- ~
Bath Tub GarbageDiapooaII Catch Buins
t----- - ~
Wub Basin Dishwashe.. Conduclo"
- - ~ - ~
Water Clooal Laundrama.ls Gre... Catch Basina
-
Sink Water Softene.. Sump Pump" Ejeclo..
l Water Heate.. .-/ [/'.æ Sanitary Bubble.. Bar and Soda Wastes
Shower Batha Urinals
noor Dralu Dental Cuspido..
Laundry Tubs Service SinD
Inspaclions Valuation of Ihe Work Herein Described Fee Verified, Receipted and Recorded Received Perml! and Inspection Fees
..-.-----..-..-----..-----........--..---........Oulaide $../tm2"'...-....-----....--..-------..-..-......-------- ....---..---..-....---------Sewer Fees
.....-..-..-..-..-----....-....---..-----------......-Inside ...../!.,Ç_c:?.---..Plbg. F..s
$--- ........------......-..---..........-.....-........---......-...... .....¿,-..q-q.._.....Tolal
~=~97477?~~=:;~-~; $--- "------"'------------""êi.ïT'e.;.;,;;"--- ---""""'------.. Date ~o/?' 7'
------..-........-----....-....-....--....-..---..-------....-...
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his author ired Plumber hereby agree to be boundon by and
submit to all statutos, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
Ills futhor agreed by tho undorsigned thot no other uses will be made of tho above connections e""ept a~h!reinaftor listed.
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