HomeMy WebLinkAbout0008893-Plumbing (lateral)
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I Lot No. I Block I Ward I Addilion or Replst
OUTSIDE WORK
17
NIW SEWEI WATEI STORMS FEES FEES IELAY S. >EWE' WATER srORMS FEES
From MaIn 10 Curb Seplic Tanks From Main to Curb
""'m Cw<b 10 Building hb C"-! /"~ ~ Electric Pump. From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. I US!!II I FlES NO. NEW 'EP. USE. "'S "°. NEW IEP. USE. FEES
1-
Bath Tub Garbog" DilJpooaIs Catch Basins
-
Wub Basin Dilhwuhen Conduclors
- - - - -
Water Closet LaundrllmÙ8 Gr"..... Catch Basins
SIDle Water Softeners Sump Pump 8r Ejeclor.
Water HeatllB Sanitary Bubblers Bar and Soda Wasle.
Show,"" Baths UriDals
Floor DrIOlllll Denial Cuspidors
Laundry Tubs Service Sinks
Inspeciions Valualion of Ibe Work Herein Described Fee Verified. Receipled and Recorded Received ~rniI and Inspecflon Feee
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----------------Ouisicle $-..,.2.,;)J2,------------...---------------...------ -----~c.------------Sewer Feas
--------------------------Insida ----.I. ':~-Plbg. Fee.
=-tiI-i:r.-Ei? - F~ 0; $--.------------------.--------------------- ------:<Þ-~~_TOfa1
$------ --- ------- - - ------------------------------ ------------------------ëi.ïÿ;-,;;.-;;ë;------------------- Date -
)~ '.-ro, 75
In thlt performance of this work the undersigned owner (or his authorized agent) of said premi... and his aurhol'Ìzed Plu",ber hereby agree to be bounden by end
submit to all statutes, city ordinance,. and rules and regulation, prescribed by Ihe Board of Public Works for the government 01 Plumbers.
It I, futher agreed by the undarslgned that no other uses will b. modo of the above connections except as hereinaner listed.
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