HomeMy WebLinkAbout0008222-Plumbing (fixtures)
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I Lot Ho. I IIlock I Ward I-Addition or Replat
OUTSIDE WORK
Date
NEW SEwn WATER STORMS fEES fEU RElAY S. SEWER WATER STORMS fEES
From Mam to Curb Septic Tank. From Main to Curb
From ClUb te Building Electric Pumpa From Curb to Building
Repatr
INSIDE WORK
NO. NEW REP. USED flES NO. NEW REP. USED fEES NO. NEW REP. USED fEES
- - - - 7 -
Bath Tab aubage Disposals Catch Basi... /.t?
/ }IOð f-C--
Wash BIIÙS DiBh...uhara Conductora
- - - - -
Wet... CI_t LaUDdrIllll&bl Greue Cateb lIaslns
SIIIIc Water Softenera Sump Pump II< Ejeclors
Weier H.at.... / I ,(J~ Sanitary Bubble... II.. and Soda Waates
Show...llaths Urinals
Floor Drains Dental Cuspido...
Laundry Tubo Service Sinks
IDIP8diona V~uation of the Work Herein Described ,~ V...... --- -....... t .""'... ...... - --.....
---'-~7Ifi!l3:7' ----Outside PER IT FE[..\:{!Jl)!I~...--Se~er Fees
$..-..tQ..Q.L.Q:~........_....._-_............_..- Commö~Y" ~S:;;:¡¡~L~.2...'4...~~,":rlbg. Feea
---.1.:: ... - --___.._wide $....--....-.--....-..........--....-.....-.-....--..-
--'----'--"---- """"""""""-'-'ëTtŸ"Trëã;~;ë;-""""""-"'- ,v~~~~~7~~~ ----
--.--.--.....---FiDa! OK $..-...........-................-............................--..-.-
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In the performance of this work the undersigned owner (or hi. outhorired agent) of .aid preml..s and his authorbed Plumber hereby ogr.e to be bounden by MId
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 uses will be made of the above connectQ: ~. ~~iž~li"I.~æ~¿..._-
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