HomeMy WebLinkAbout0000624-Plumbing (lateral)
~
'\
)
z. ~4~-~P~:V~Osh~~h:_::c:n:it 4?~d~~~~
I Lot No. I Block I Ward I Addition or Replal
OUTSIDE WORK
Date
NOW '"WEt WArE' STORMS FEES 'E" 'ELAY S. SEWER WATE' STORMS 'EES
From MaIn to Curb Septic Tanks From Main to Curb
~ CuRb to Building 1..--- ~ <feci) Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
RI,.
'EES
USID
NO.
NEW
"ES
NEW
'EP. I USE.
FEES
NO.
NEW
RI,.
USE.
Bath Tub
Garbage Diapooels
Catch BuIDs
Wuh Buin
Diahwuhers
Conducto..
Watar CI_t
Laundramais
Greue Catch Buw
--
SIDk
Water Softene..
Sump Pump 8< Ejectors
Water Heate..
Sanitary Bubblers
Bar end Soda Wales
Shower Baths
Urinals
Floor DrÛ118
Dente! Cuspidors
'I~-
Launclry TubII
Service Sinks
~?~~:-::::~-~=::==:::::::::=:::::~~.:~:
~~~:r.~.::~::.:::==:
$.
~
"'----'C';;Ÿ'T,ë;;~;ë;--"-----'-'------'--'---
Fee Verified. Receipled and Recorded
Received Permit and InspeclioD Fees
--..--~.çø----Sew.r F-
Da~::~;~ F...
==~~1;:i7i-7---
m_m
-Final OK
(n th'- perfòrmance of this work the undersigned owner (or hi. authorired agent) of said premises and his authorired Plumber hereby agree 10 lie bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other usos will be made of the above connections except as hereinafter listed.
--m--pd~_--_þ--,~ __m