HomeMy WebLinkAbout0008565 P
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I LLoi No, I Blook I We.d I Addmon o. Replat
OUTSIDE WORK
Date
NEW SEWn WAIER STORMS "ES "ES RElAY S. "WER WAIER STORMS FEES
From Main to Curb Septic Tanks From Main 10 Cu.b
FIo... Curb io Building If/~f JlI r'..,(J/ ,~ Elecl.;c Pumps From Curb 10 Building
-V
Repair
INSIDE WORK
NO.
NEW
UP.
USE.
TIES
NO.
NEW
REP. I US..
FEES
NO.
NEW
REP. I USE.
'EES
IIaib Tub
G...bage Disponls
C- Bums
I-
Wuh Buirl
W- CI_t
Dishwashers
Conductors
Laund:ama.!ø
Gre..... Catch Basins
SIAIc
WIÙ.~ Softene~s
Sump Pump 8< Ejeclors
Wate~ Heat.rs
Sanitary Bubblers
Bar and Soda Wastes
8ho..... Baths
Urinals
FloĊ ~aiIII
Denial Cuspidors
LaUl1dry Tubs
.
Service Sinks
Inspec!i°j¡- ~ V:fuation of Ihe Work Herein Described Fee Verified, Receipled and Recorded Received Permit and Inspection Fees
-_._--J-~ ._~_____Outside JJ2J:.Jl.Q------------------_._-------------- ---1:'~-~--___Sewe~ F-
--------------------Inside ------ ..!...- -U-..-PIhg. Fees
-- --9/' =-,------- s---.-.-------.------------------------------------ ------------------------------------------------------- :t--f,h.()f)-_To 1Ù
é5 . City T.....,., -..-'
(J.lI----~~---_------:EiDaJ. OK s-------------------------------------------------- ~ DlÙe 911 & A~
In Ihe performance of this work the undersigned owner (or hi. euthorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulalions prescribed by the Boord of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will b. mad. of the above co"neetions except as he~ listed. "
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