HomeMy WebLinkAbout0008919-Plumbing (laterals)
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Date
I Lot No. I Block I Ward
OUTSIDE WORK
f Addtiion or Raplat
NEW $lWEI WAIER STORMS fEES >EES RElAY S- .EW" WAIER STORMS fEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
FJcm Cub io Building If /)(17: /II('¡]D t¡~ Ò¿ Elacula Pumps From Curb 10 Buil<'!ing
I Repair
INSIDE WORK
110. NEW RIP- U$!!O fEE. OJO- NEW .o.- USE. FEE. NO- NEW REP. U.E. fEE.
..- -- -
Bath Tub Garbage DlspclOa!s Cli.l<:h Basm.
-
Wash Bum DlshwWlhen Conductor¡
- - - - -
W- Clont Laundr..-. Grease Catch Basins
SIJIJo: Water Softeners Sump Pump Ik Ejeclors
Water Heaters sanUary Bubbler¡ Bar and Sod.. Wasles
Show... BUbs Urhtala
Floor JJrallu Dental Cuspidor¡
LaUl1c1ry Tu!>o Serrice 5mb
IDlpec1ioDl VjJalion of the Work Herem Described Fee Verified. Receipted and Recorded Received Permi! and InspociioD Feea
---------------- ----Ouiside $-_.___¿lLÓ-<___Q--Q-------------_...__... ._--J--gQ___-.sewer Fees
--...---------------_____--Inaide ___./¿9_Q____Plbg. Feea
f=/zri5~~~; $-------------------.....--------..------...-------- D~:-7~~/ß3-
$------..-----...------------------ --"---"'----"'----"'-ëi¡:¡Ÿ;e-;.~;'-;-------------"----
In tho performance of this work the undersigned owner (or hi. authorized agent) of s.id premls.s and hi. authorized Plumber hel-eby agree to be bounden by and
submit to all .talute., city ordinances, and rules and reguiotion. prescribed by Ihe Board of Public Work. for Ihe government of Plumber..
It is futher agreed by the undersigned Ihal no olher use. will be modo of Ihe above connection. excepi o. hereinofte,yiisled.
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