HomeMy WebLinkAbout0008352-Plumbing (laterals)
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I_Lot No, I Block I Ward I Addilion or Repiat
OUTSIDE WORK
Date
NEW SEWn WATOJI STO~S 'EES 'EES RElAY S. "WE. I WATER StORMs 'EES
From Main to Curb .;..jil I'~. .) k/ðGJ Seplic Tanks From Main 10 Curb
FJom Curb to BuDding J Eleciric Pumps From Curb 10 Building
Rapair
INSIDE WORK
110. NEW RIP. US'" fIlS NO. NEW REP. USED fEES NO. NEW REP. USED flU
~ -
Batb Tub Gubage DilpooaIs Caich Basins
Wash Basbs DiIb..""ben Conducto..
- ~ - - -
Wat... CI....t Laundrlllllat. Greue Cateb Buins
SInk Wate.. Softene.. Sump Pump 8£ Ejectoro
Wet... Heate.. Saniiuy Bubble.. B"" and Soda Wasle.
Show... Baths Urinals
n...... Drahsa Dental Cu.pidoro
Laundry Tubo Service Sbsks
IIIIIP8ciIODi Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded R~:Y~ü and Inspection F....
------------ ---- -------Outoide .;(71) ~ -------------------Sewe. Feea
$--------------......--------------------------------------- lr--L..t?::L:PIbg, F....
----------~-------InIlde
- ~lr;Í.J2T-=- --F~ Ole $--------------------------------------------------------- -------~;.{.é'x.---Total
$----------------------------------------------------- -------------------------ëïtyr;ëlli;ë,------------------- Date (.- /0- 76
In tho performlnce of this work the undersigned owner (or his authorized agent) of .aid premises and his authorized Plumber hereby Igree to be bounden by and
submit to III .tatutes, city ordinlnces, and rules Ind regulations prescribed by the Soa,d of Public Work. for the government of Plumbers.
It Is futhor agNed by the undersigned that no other uses will be made of the above connections except os hereinalter listed.
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