HomeMy WebLinkAbout0008555 P
........
'1
~ - - p z ~:ç¡:; ~ h: ~::.:!t ~ 3 3:&l J 0-
.1 Lot No, I BIOC~ I Ward --¡;;;Wmon or Hepl"'.
OUTSIDE WORK
Date
New sown WAtER STORMS fEES "'S RELAY S. 'EW" WATER STORMS ...5
From MaiD to Curb Septic Tanks From Main 10 Curb
From Curb 110 BuUdIn¡ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. US'" NOS NO. NEW R'P. USE. fEES NO. NEW REP. USED fEES
Bath Tub I JtfV Garbago Diapooa1a / II ,;,-0 Catch Basins
Wash Buhs ~ ~ Diabwashers - Conducton
Watow Clont I?- b<l-.J Laundramats } ¡_-Ð Gre..... Catch Basins
Sbok J 1;1-1 Water Boftenon Sump Pump lIE Ejectors / /-
Water Heaters "¡ /,n) Sanitary Bubblors Bar end Soda Wasles
Sho....... BaiJu¡ Urinals
Floor:DriIIDI / /¿"I Dental Cuspidors
Laundry TubI Sorv!œ Sinks
~:=ons r. ~_.__.._OuÞide Valuation of the Work Herein Described Foe Verified. Receipted and Recorded Received Permit and Inspection Fees
$._.._.....,¿.3~L~L..~_~- .-..---..' -'--- -¡¡;.__...¡;::t'J._.-Se...er Fees
W~ L5. f:L.._¡;o_Plbg, Fees
--.-. ..D. ~ ....__-wide
--_.J._~ r} - $_00___"_"-'-"-"-""--'-""-""'-"""--"- -. -Æ._oo--Toial
-mj ~--F1JIaI OK $..-.-..-..-.---.....-....--..-..-..-.-.--- '-"""'--"""""'ëijÿ'y';;;ï;;õ;--""-"""-""" Date 4-/;2- 76
In the performance of this work the undarsigned owner (or his .uthorirad age "I) of saiel premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and ",gulollons prescribed by the Board of Public Works for the government of Plumbers.
It Is futhor agreed by tho undersigned thai no other uses wili bo made o~ the above connections except as her,
........--...................-..........-.....""""""""""-