HomeMy WebLinkAbout0008906 P
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Plumhez
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t Lot Ho. I Block I Ward - -- I Add;!io" or Heplal
OUTSIDE WORK
4.
DÙ8
NEW SEWEll WAtER STORMS FEES FE" RElAY S. SEW'R I WATE. STORMS FEES
From MaIn to ClUb 1/11 (/1' .fr/ (j( Septic Tanks From Main 10 Curb
Fi'om ClUb to Building -9-'1);;1: (P Eleclric Pumps From ClUb to Building
Repair
INSIDE WORK
NO. NEW REP. USED RES NO. NEW REP. USED FE.. NO. NEW REP. USED HES
I-- ~
Bath Tub Garbage Dilpo-:!8k CIW:h Basins
-
Wash Basin Dishw...hen 1- Conductors
- ~- - -
Wat"" a_t LaundrlW1ldl Gre..... Catch Basins
SIJIIo: Water Softeners Sump Pump 8< Ejeciors / 1 (j,Óc.
WÙ8r Heaten Sariliary Bubblers BBl' and Soda Wastes
Shower Baths Urinals
l!'1oorDrains Dental Cuspidors
IdUDdry Tubs Servi<:e Sinks
~J1¡ñ~_~4I2~e V~lon of the Work Herein Described Fee Verified. Receipted and ReODrded Received Permit and Inspection Fees
-_.--~.Q.-Q..-Sew"" Fees
--.":-.......-.....-----lnsld8 $--_'tfjZ{!!!..dJ..6'.........--....__......_- jJ.O-..._PIbg. Fees
--..lá..JÆZ2s!- F~~; $.....--.-..-.....-........----.....-......-....- .:)..o..Q...-.. Tolal
$.-.............-..-... - -"...... - .............. -.....-..--..- - ---""""""""""c¡¡ÿ'ÿ;ëã,;;ö;"""""""""""-' Date /~/J//?-5----'
23
In Ihe performance of Ihis work Ihe undarsigned owner (or hi. 8ulhori.ed .genl) of ..id premi... and hi. aulhorized Plumber hereby agree 10 be bounden by end
submil 10 all slalules, city ordinancas, and rules and regulalions prescribed by Ihe Bo.rd of Public Works for Ihe governmenl 01 Plumbers.
II is fulher agreed by Ihe undersigned that no ..Iher use. will b. 11I,ade of Ihe above <o"noclion. excepl as hereinafl.. iislea;- --~
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Plum'"
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