HomeMy WebLinkAbout0000919-Plumbing (interior)
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I Lot Ho. . ~ I Ward u _1 Addilion or Replat
OUTSIDE WORK
Date
Naw SEwn WAIER STORMS FEES FEIS RELAY S. SEWER WATER STORMS FEES
From MaiD 10 Curb Soplic Tanks From Main 10 Curb
From Curb to BuUcIlnsr Eloclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
RIP.
FlES
NEW
REP. I USEO
FEES
NEW
REP.
FEES
USED
NO.
USED
NO.
Bath Tub
I
I
:1..
I
I
Saniluy Bubblers
Bar and Soda Wasles
L
I
II
j. .-v
Calch BaalnI
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,H-
.rd
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Garbage DlapoAls
Conduclors
Wash Basin
Dlabwasbers
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J. v-(I
Gre... Catcb Basins
LaundramaJs
Water CI_I
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j,&-<.
SIDIo:
Water Softeners
Sump Pump II< Ejeclors
I
Water Heaters
Sbower Baths
UriDaia
F1oor Dralu
Laundry Tubs
I
/
I;. .-r.,
J.?rV
Service Sinks
Donlal Cuspidors
IlISpeclions Valualion of Ibo Work Herein Described Fee Verified, Recoipled and Recorded Received Permit and Inspec!lon Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ond
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 egreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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REFERENCE CARD
PLUMBER i i
DATE 19 PERMIT NO.
r
NAME OF OWNER l 7 r
STREET and NUMBER �r- 1�
Description I lot I Block I Addition Ward
OUTSIDE WORK
New S. Sewer Water Storms Relay S. Sewer Water Storms
From Main to Curb From Main to Curb
_From Curb to Bldg. From Curb to Bldg.
Electric Pumps Repair
Septic Tanks
INSIDE WORK
NEW REP. USED FEES NEW REP. USED FEES NEW REP. USED FEES
Bath Tub Garbage Disposals Catch Basins
Wash Basin Dishwashers Conductors
Water Closet Laundramats Grease Catch Basins
Sink Water Softeners Sump Pump Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Shower Baths Urinals Range Boilers
Floor Drains Dental Cuspidors Future Outlets
Laundry Tubs Service Sinks
Inspections Remarks
0
Outside Sewer Fees
Pie,.. /2? Inside Plbg Fees
Total
8/45 7/ Final OK
Valuation