HomeMy WebLinkAbout0008796-Plumbing (water heater)
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of
Plumber
---_~_PZ~I&;~:it _~6Æa. y
LLoi Ho. ~ I Ward I Addition or Replat-
OUTSIDE WORK
D&18
NEW SEWEll WAtER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaiD to ClUb Septic Tanks From Main 10 Curb
FJrom Curb to Building Electric Pumps From Curb to BuiJding
Rapair
INSIDE WORK
NO.
NEW
UP.
USED
..os
NO.
NEW
REP. I USED
'EES
NO.
NEW
REP. I USED
fEES
-
Bath Tub
aIUbage Diapollals
Caleb Bulns
,-
Wub BUÙI
Dishwashon
Conduclors
-,-
Wat... CI_t
LaundrUDllts
Grease Catch Basins
SIJIk
Watar Softener.
Sump Pump 8< Ejectors
WIltlIZ' Heaten
I
BIU' and Soda Waste.
j;J--Ô
Ssniluy Bubblers
Sho...... Baths
Urinels
FlOO1' Dr8lna
La1.lJ1c1zy Tubs
Dental Cuspidors
f--
Senice Sinks
IWlpectIons ---OUtsIde
~==::::=-=::==~~:::'-=-___Inside
Valuation of the Work Herein Descrlhad
$---_.. ---..--l. ~~-;L~~.~--_.._-_...._-_.._......_-
$---------..---------------------..--.----------.----------._-
$----......--..-------------..-------------..---
Fee Verified. Receipted and Recorded
Receivad Permit and Inspection Feas
---------..--..--------.Sewar Fees
------"'¿..~-PIhg. Fee.
..Q-Ø
--..----....é._.---.-.. Total
Date //-o2</-?S-
----~Æ::::::---- Final 0;
-------------'----------'êiiÿ-T;;;.~;ë;"-------'----------
In the performance of this work the undersigned owner (or his authorired agent) 01 said premise. and his author bed Plumber hereby agree to be bounden by end
submit to all stalute., city ordinances. and rules and regulations prescribed by the Board of Public Works for the øovernmont of Plumbers.
It is futher agreed by the undersigned that no other uses will be made 01 the above connections exeept as hereinalter listed.
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