HomeMy WebLinkAbout0008651-Plumbing (water softener)
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I Lot No. I Block I Ward I Addition or Replal
OUTSIDE WORK
Date
NEW SEWEI WATER STORMS fEES "" RELAY .. SEWER WATER .rORMS fEES
FIom Mam to Curb Septic Tanks From Main 10 Curb
~ Curb to BuDding Ele.lric Pumps FIoln Curb 10 Building
Repair
INSIDE WORK
NO.
u,.
FEES
NEW
USED
FilES
NO.
NEW
RE'. I USE.
"'5
NO.
NEW
RE,.
USE.
Balla Tub
alU'bage DÏJlposaIs
Caleb Basins
f--
Wash Basill
DishwlUihor.
Ccnduc!ors
Water CI_t
Laundramais
Gre..... Ca!ch Basins
Sink:
/
Sump Pump lIE Ejec!oro
V "'v
Water Softeners
Watu HÐa!e..
Sanitary Bubblers
Bar and Soda Wasles
Sho...... Bathe
Urinals
Floor DraIDs
LeIU1lky Tuba
Denial Cuspido..
Service Sillb
IJIIP8CIlo", Valuation of Ihe Work Herein Described Fee Verified. Recelpled and Recorded Received Perml! and InspeclioD Fe8I
-----.-....--__---Oollide $ Q- ¿ ~ "Y ;;¡;?-------.---.---Sewer Fees
===--~..:.-==~=~=~-=-hsld~ $:~~=~~:=~--=:--_.~-_::=:::~~~=:::::==~~ -----------------.-...------------------------------------- ~-Ž~: Fee.
. , CltyT",,"'., - ç /r-
-------------Final OK $--------______n"~c-__---------------- Date /Ó --;20 -- ¿'Q
In the performance of this work the undersigned owner (or his authorized agent) of .aid premi.a. and hi, authorizod Plumber hereby agree to be bounden by ....d
.ubmlt to all statute., city ordinance., and rule. and regulation. prescribed by the Board of Public Works for the government 01 Plumbers.
It I. futher agreed by the under.lgned that no other use. will be made of the above connection, except a. hereinalter lI,tod.
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----------- 'Iumblng In-_r .
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