HomeMy WebLinkAbout0008261-Plumbing (interior)
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Name
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PlumJ>e¡o
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t~I.otll'o, I Blocku I Ward I Addifion or Repl&!
Dale
OUTSIDE WORK
NIW SIWEI WATEI SrORMS FEES FEES .EIAY S. .,WER WATER SrORMS FEES
From M8ID fo Curb Septic Tanks From Main to Curb
FJo... Curb to BuUdInø Elecuio Pumps From Curb fo Building
Repair
INSIDE WORK
NO. NEW liP. USID FEES NO. NEVI .'P. USED FEES NO. NEW REP. USED FEES
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Baib Tub / I-c-V Garbage DispoAla Calch Bas"'"
Wash Basin / II. c-tJ Dishwatlhen Conductors
1- - -
w- CI_t / I /. ..-d Laundramals I /çe., Grease Caleb Basins
Blalc I ¡.v-d Waler Softeners Sump Pump 8< Ejeolors I /'Ð-O
Wattlr Healers I J. u-V Saniiuy Bubblers Bar and Soda Wastes
Show... Balhs Urinals
Floor Dra!D8 / i/. tJV Denial Cuspidors
Laundry Tubs Service Sinks
Iaspections Valualion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Iaspeclion Fees
--"'-7~.____0uIside $-../.~.£L~_~......_._.._.._-_.._.._....- .-..._........._-_._~Sewe. Fees
-......1. -'1..2 _.-~Inside ._~..g.~--Plbg. Fees
1-- .Y:~~ 0; $.....-.....-....--.--..--..-..-............-...---.- .~_.-%-~q:q--TOfal
$~.__... """~~---' -~ ...._..._._~-~.-. ~ .~_.......~- ..~~_. ~~~_._.._. .-... CI¡YTre~;;;;; -~~--"-_._-"..- Dale ~~ð' 7.5-
In the performance of this work the undersigned owner (or his .uthoriad agent) of said premi.as and his authorized Plumber hereby agree to be bounden by and
submit to all statules, city ordinances, and rules and regulalions presoribed 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 01 the above connections exc~~re¡naft.r listed.
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