HomeMy WebLinkAbout0008344-Plumbing (laterals)
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H- ,-' . - P~~~BJNG PER~IT-- ~~~~conS~:eet Permit N? 8344
PI~r ~:iftrL_-~~-----_._----- O~er ---~~---_._~------------_._--_.- N~ber __....¿~2à_._._.__.f;iì!~'-<:pt-t!::P_ç;:f~-
l~:No, Blook I Ward I Addilion or Replat
OUTSIDE WORK
Dat.
NEW SiWEII WAIER STORMS FEES FEES RELAY S. SEWER WATE' STORMS FEES
From MaIn to ClI1'b Septic Tanks From Main to Curb
From C...b to Building Eleotric Pumps F>om ClI1'b to Building
Repair --'
INSIDE WORK
NO. NEW RIP. USOD FlES NO. NEW REP. USED FEES NO. NEW REP. USED FEES
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Bath Tub Garbage Dis~ Catch Basins
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Wuh BaslD Dishwashers - Conductor¡
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Water CI_t Launclramats Grease Catch Basins
Sink Water Softener¡ Sump Pump 8< Ejectors
Water Heat... Sanitary Bubbler¡ Bar and Soda Wastes
Show"" .Baths Urina1s
Floor Drains Dental Cuspidors -
Laundry Tubs Service Sinks
Iaapectioaa Valuation o~e Work HerelD Described Fee Verified. Receipted and Recorded Received Permit and Iaapection Fees
------------------OutIide /c3(). ------Jo!i:'::~---Sewer Fees
$.....---------------..---..----------------------
..------------------wide ---"'-~..::;;:r"'pIbg. Fees
----------------- $..------------..-..---------------------.-.----- .._--/..:_~------ Tolal
----------.----F\na1 OK $.-..- --- --.---- ----------...--...-..---------- -------""-"-----"-C¡ïÿ-'Tr..,;;;,;---"-------"---" Date t:.. ¥ 7.s~
In th. parlorm.nce of this work th. undersigned owner (or hi. authori.ed agent) of .aid premi.es and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and reguiations pre.cribed by the Board of Public Works for the gov.rnment of Plumbers.
it is futher agreed by the undersigned that no other uses will be mad. of the above connections except 8S hereinaner listed.
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Plumbing In......' ,D. <3 -
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