HomeMy WebLinkAbout0008249-Plumbing (water heater)
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11'-
of
PIUJDber
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.1 Lot 11'0. I Block I Ward I Addiiion or Replal
OUTSIDE WORK
Date
NEW SEWER WAUR STORMS FEES "'. RElAY S. SEWER WATER STORMS FEES
From MaID to Curb Septic Tanks From Main 10 Curb
From Curb to Bullcllng Eleclric Pumps From Curb 10 BuUcIlng
Repair
INSIDE WORK
NO.
NEW
RI,.
usm
FlES
NO.
",w
RIO. I USED
FEES
NO.
NEW
REP. I USED
FEES
.-
Bath Tub
Garbage DÙlpooals
Calch Baow
-,-
Wuh Baom
Dlshwaohen
Conductors
-,-
Water Cl_t
Laundramals
Grease Caleb BulDs
Sink
Water Softeners
Sump Pump 8< Ejeclors
Water Heate...
/
Bar and Soda Wwes
{uo
Saniluy Bubhle...
Urinals
Show... Beths
Floor DraIDs
Denial Cuspido...
Laundry Tubs I I I I I I Service Sinks
~~':_-_._----__._-_OuIIide Va~Ij.Ö Ih~~ork Herem Described Fee Verified, Receiplad and Recorded R~~iV:~--~::~~~"::iO" Fees
----------------------..__-Inside $------Z_.-----~------------_._-----------_...- ._~' -¡j.2--___plbg. Fees
$.--------------------------.-...------------ . . -" .00. Tofal
----'1:-f-,-;-;--f'.-\~~----- ---------------"-"---C[iÿ'Ÿ;;;-'ï~;ë;-"----------'-- --no_, j -- - ) ..-/
-----+--J-LI-!-2...:f---------E1Dal OK ,$-------------....-.....------------------- Date LJ I 'JJ/ ~
In the performance of this work the undersigned owner (or his authorized agent) of ..id premls.. and his autho..ized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rule. and regulations prescribed by the Board of Public Works for the government 01 Plumbe..s.
It Is futher agreed IIV the undarsigned that no olher usas will be made 01 the above connedioo. except as he..einalter listed.
=..-&..~~~~~~~=::::::~~~~::::_-~:-:::::~:::
Plumbl.. 1.'_'
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