HomeMy WebLinkAbout0008552-Plumbing (interior)
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Data L~oi_:NO' . I Block I Watd I Addilion Ot Rephu
OUTSIDE WORK
MEW SEW.. WATER STORMS lEES FEES RELAY S. SEWER WATER STORMS FEES
From M8In 10 ClUb Septic Tanks FtOm Main 10 Cutb
From Curb 10 BuUcllng Elecltic Pumps Ftom ClUb to Building
Repait
INSIDE WORK
NO.
,
REP. .
NEW
USED
....
NO.
NEW
REP. I USE.
IE"
NO.
NEW
REP.
USE.
"ES
Batb Tub
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.if.¿
<£'
;L.
<¡..w'
-p/c/I
1/ ð t!"Ò
'3ifÒ
~.tJV
~...o
-
<¡
GlI1'bago Diopooals
CIIIch Bow
Wash BUÙI
Conducto..
¡-
Diobwasbers
-,-
Watv CI.....t
lLrO
L
Laundtllmllbl
Gre- Catch Bulns
8II1II:
I
/ b-d
Water Softeners
Sump Pump Ii< Ejeclo..
Wafer Ham..
Sanitary Bubble..
B.. and Soda Wastes
Showv Baths
UriDaIa
FlOOl' Dtelm
2J-J-~
II_' I¡,¡;-o
Senice Sinfm
Denial Cuspido..
Laundry Tullo
Valuation of the Work Herem Described
$-_.i';._~.:-._:~._-------_._-_.._._.__._---
$------------------...-.----.-.-.---.-.-----.--.---
$------------------------.----...---.---------
Fee Verüied, Receipled and Recorded
Received Permit and Inspection Fees
----------..........----Sewer Fees
---..5L~..-plbg. Fees
--....5..L"-~~-- Total
£1 75--
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Date
In tha parfcrmanca of this work tha undarsigned owner (or his authorited agent) of said premi.es and his authorized Plumb..r hereby agree to b.. bound..n by and
submit to all statut..s, oily ordinances, and rules and regulations prescribed by the Boord of Public Works for the government of Plumbe,..
It I. futh..r agreed by the undersigned that no other use. wlil be ",ode of the above connection. except .S, h~reln.fler listed.
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