HomeMy WebLinkAbout0008650-Plumbing (water softener)
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I Lot 11'0. I Block I Ward I Addition or Replst
OUTSIDE WORK
Dale
NEW SEWEll WArER srORMS "ES "" RELAY S. SEWER WArER srORMS FEES
From M8m to Curb Septic Tanks From Main to Curb
From Curb to Building Electric Pumps From Curb to BuUcling
Repair
INSIDE WORK
NO. NEW RIP. USED flES NO. NEW REP. U'ED FE" NO. NEW REP. USED FEES
Bath Tub G...bag" DilpÅ“IÙR Catch Buina
-
Wuh Basin Dilbwuh- Conductors
- - - - -
Water C~t LaundriUlUltl Graue Catch Buina
SIIIII: Water Softeners / é Sump Pump /I< Ejectors
Waler Healers Sanitary Bubblers B... and Soda Wastes
Show... Baths UrinDIs
Floor DrÚIUI Dental Cuspidors
LaW1dry Tubo Service Sinks
I...pectio,," Valuation of the Work Herein Described Fee Veritied. Receipted and Recorded Received Permit and Inspection Fees
-----..------...---.-----Outside ~ ¿, </. CJ2J ~....._--.._-_...___.8ewer Fees
$......--....-...--------...----...--.....----------- ij..:...<22L__plbg. Fees
-----------------------.-InIide
----...---------- $---...-----------...-------.------------------------- -- --./-"-@.--TOlal
--------Final OK: $-------...----.---.---------------------- "---"--"'--"-------cliÿ-i;;;~~;~;------------""-------' Date 10-;;2.[: 76
In the perfDvmance of this work the undersigned owner (Dr his authorized agent) of said premises and his authorized Plumber hereby agree to b. bounden by and
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 ov the above conneelions except as hereinafter listed.
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---------_...~ Plumbing Ino_,
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