HomeMy WebLinkAbout0008670-Plumbing (lavatory)
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I Lot No, I Block I Ward I Addl;lon. or- Re¡>lat
OUTSIDE WORK
Dale
NEW SEWEI WAn. STORMS fEEi "'5 ."AY S. i'W'. WATE. STORMS FEES
FIOII1 Main to Curb Septic Tanks From Main to Curb
FIom Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RIP. USED FE.s "°. "'EW "P. USED fEES No.1 NEW 'EP. USED FEES
- -
B8tb Tub Garbage DiIponh¡ Ca1ch Bulns
/ /,r:JO -
Wuh Bum Dish..uhen Conductors
Walor CI_t Laundrwnals aresse Coich Bulns
SIDIo: Water Softeners Sump Pump It Ejectors
Water Heat.rs Sanitary Bubblers Bar and Soda Wutes
Sho..... BatIui UrinaJs
Fl- Dratns Denial Cuspidors
Laundry Tubs Service Sinks
Inspections v.;p;~on of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
---------------- ----. ----Outside ----------------------Se...er Fees
$__....'l.2..d_.-..._Q-Q---.----...-...-.-- .-ié.ff._ò._-_PIbø, Fees
-......--..----..-----------Inside
---------....---- $-..--..--...--...-.--..---..-....--....-..........-- .....~<_a1L.__Tofa1
-------F1Da1 OK: $--.-..------...---..--.---------.------- """"""--"'-"""'êiïŸTr';;;~;;;-""""----- Date /~A-:>,-,
In Ihe performance of Ihis work Ihe undersigned owner (or hi. aulhori.ed agen') <>f .aid premises and hi. aulhori.ed Plumber hereby agree 10 be bounden by and
submit 10 all .talule., city ordinance.. and rul.. and ragulalion. pre.cribed by the Board <>f Public Work. for Ihe government of Plumbers.
I! Is fulher agraed by Ihe undersigned Iha' no olhar uses will b. modo of 'he above connections excepl as h.roinaflor Ii.led.
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--"-- .'- .--- Plumbtns Ino_,
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