HomeMy WebLinkAbout0008528-Plumbing
........
)
H-
of
Plumber
- - ~ ~ - P: ~ :ll: ~ ë ¿: ~ C;.:; ~ ~:. å s ~ ~ .
I Lot No. ' I Block I Ward IJWdi!ion or Replat
OUTSIDE WORK
Dale
NEW SEWER WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
bolD Curb to BuildIiIg Electric Pumps From Curb to Buil<Üng
Repair
INSIDE WORK
NO. NEW UP. USED FiES NO. NEW REP. USEO Fm NO. NEW REP. USED FEES
Bath Tub Gubag.. DiopooaJ¡ Catch Basins
r-----
Wuh BaslD .2 ,:/,'fC) Dishwashers Conductors
- - - -
Water CI_t j j"Ù Laundramalll Greue ClÙch Basins
SIDle Water Softeners Sump Pump 8c Ejectors
Water Heaters Sanitary Bubblers Bu and Soda Wast..
8ho..... 1Iaths I /. ,>-ò Urinals
Flo<w Dtallls Dental Cuspidors
La\IDcIry Tubs Service Sinks
IDSpectioDS Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
.. --- --..-.------... -.....--Outside $...&'_.$.9._: ~--_...__.._-_.._-_....__.._.... :~~_~~~~r F=
--...---.-..-..---------InIide
-----------...-..---- $...--....--------..---.-..........--..------
--------...-....---F1naI OK $..........--........--....--....-....-..-----.-..--.- --""""--'---""""'cliŸŸ~';;"~;~t-""--""-"---"--- Date >rc:2-%. ?.s-
In the performance of this work the undersigned owner (or his authorired agant) of said premises and his authorized Plumber hereby agree to be 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 futh.r agreed by the undersigned that no other uses will b. made of the above connections .x.e~t'1~~r~inafter listed.
'-----"-""'----,"""-"-"""""""""""""-"'-
"-~"-"-"--Ówn ï-';",,"'~;~I' .u1ho".~ .,',' on
--...-..- , .. " ~~-. --""'-""'---""-"""...-...--...
--..----......-.. -- Plwnbln. In......, .£;J.ZJ .