HomeMy WebLinkAbout0009343 P
k
~
)
z. ~ J ~ - L P ~ ~: ': n':it ~ ~ V- ~ å:,
I Lot No. (j b I Ward I Acldilio_n~Replat
OUTSIDE WORK
Dale
NOW SEWEI WATE. STORMS FEES fEES .ELAY S. SEWE. WATE. STORMS fEES
From MaiD to Curb Septic Tanks From Main to Curb
FNm Curb 10 BuDding 1...1 ,. ,4",' I"~ ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
110.
NEW
RE'.
FEES
fm
NO.
USiO
filS
NO.
NEW
.E'. I USED
NEW
.E'. I USED
Bath Tub
Garbage Dilpooaho
Caleb Bulns
Wub Buin
Dilbwuhen
Conductors
Waler CI_t
Laundrarna18
Gre... Catch BulDs
I--
SIDk
Water Softeners
Sump Pump" Ejectors
Water Healers
Sanitary Bubblers
Bar and Soda Wutes
Shower BaIhs
Urinals
Floor DraiD8
Laundry TubI
Dental Cuspidors
Serflce Sinks
~?::~=:=::::::=~::::::::=:=::=::c::~:
Valuation of the Work Herein Described
$..d~:".~~."""...m""._.._.._".".m.....-
$.
0
Fee Verified. Receipted and Recorded
Receiv~p~ and Inspection F...
......m...m'mm..m.Sewer F-
::::::::~:::~::; Fees
Date J- ç. 7b
==7ß,i:>=~===:=;~-~;
m"
""""""""",",".."..m""""""""""m
City T'..",.,
In the performonco of this work tho undersigned owner (or his authorized agent) of said premises and his authorized Plumber heroby ogroe to be bounden by and
submit to ell 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 connections except as hereinafter listed.
=~~=~::2t: 5-~:::~~~:~:~: .:.::.:.:. :~.~~::~~:~~ .::'::
'~~~~'/~¡J-"