HomeMy WebLinkAbout0008809-Plumbing (laterals)
~
" )
~2f?_-----_P~:~Tl1~.2â -_LJ~~
I Lo.I No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NIW SEWEll WAlE' STORMS flES I fEES RElAY S. SEW" WATE' STORMS fEES
From MaID 10 ClUb ,(j'1 /,' /wrz¡ Septic Tanks From Main 10 Curb
F>vm Cu:rb "" IhdtdIDg Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NIW ] UP. I USED I H.. I NO.
HES
NEW
REP. I USE'
FEE,
NO.
NEW
UP. I USE'
IIIaIh Tub
Wuh Buln
Garbag" Disposals
Catch Buw
Dishwashers
Conductor.
Wat... CI_I
Laundrama.ll
Gre.... Catch Basins
SIDk
Water Softeners
Sump Pump 8< Ejectors
WeIiI' Heaters
Sanitary Bubblers
Bar and Soda Wules
Show... BalM
Urinals
FlOOl.' Drains
Laundry Tubs
Dental Cuspidors
Service Sinks
InsPJldjo"': ~-./ -----OuIside
~~~~=:"~=~=~._._.__Inslde
Valuation of Ihe Work Herein Described
$- -_.........2. .?/.-r2...-=-----..-..---....--
$.....--..-......-..-..-..---..-....------..-.-...-
$--..----...----..--.-.....---------...------..---
Fee Verified, Receipted and Recorded
R~ved Permit and Inspection Fees
._..~3_.~---.sewer F...
~t---O
"'..- ,.._.PIhg. Fees
-.. .~~.--TOfai
Date /;2 -1- /:)
--ï;.TiJ~=--~~;
"----""'-----"-"-ëltŸ"T....-û~'-;"-----""-"'-
In thoo performance of this work the undersigned owner (or hi. authorized agent) of .aid premi.es and his authorized Plumber hereby agree to be bounden by ánd
submit to all statutes, city ordinances, and rules and regulallons prescribed by the Board of Public Works for Ihe govarnment of Plumbers.
II Is futhor agreed by Ihe undersigned Ihat no other uses will be ",ade of the above connections oxcept as hereinafter listed.
---- '-"-11:-f'-~- "'::-h--¡;--~'û1?;¡;;;";¡¡;;;----;"-;;"'-.;¡¡;;;-~i-';)--"-------"-"""""---"--"---.....
-.------ 0 '" ... ~
'----"""-.='=""¡j,¿) "-"- -- -~;-.._--.._.. M--- ----""---""""--""---""
.' .-.n
--fh~~.--~~~~¿~--~~...._....__....__......-