HomeMy WebLinkAbout000147757-Plumbing (tub & toilet)
~
)
H-
of
PllUllber
f2~~--------- p ΕΎ :ÆRM~~hk::::on:it ~L~~~:L- 6
I Lot No. I BIDe: I Ward I AddU;on or Replat '
OUTSIDE WORK
Dato
NEW SEwn WATER STORMS 'EES lEES RELAY S. SEWER WATER SIORMS lEES
From MaIn to Curb Septic Tank. From Main to Curb
FNm Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
110.
NEW
..~.
'EES
USEO
lEES
NO.
NEW
RE~. I USED
FEES
NO.
NEW
RE~.
USED
J
,/
Catch BulDo
{r'
Garbage DilpooaIa
Ba1b Tub
Wash Buln
Dilbwuhen
I~-
Conducto..
I
¡/
;/
f--
LaundrllD1ÙR
Greue Catch BulDo
Water CI_t
SiDk
Water SoHena..
Sump Pump Be Ejectors
Wùor Hoato..
Sanüary Bubble..
Bar and Soda Waste.
Shower Batba
Urinals
FIooz DraJu
Dental Cuspidors
Laundry Tubs
Service Sinks
~:~_:_-------------------------__--Ou!side I ;Z;~~~~:__=:~:i~_::~==: Fee Verified. Receipted and Recorded R~~i:~--~~::~s:n;e;~tion F-
----------------.-------------------------.-----------Inside ----t2<-'-_OP_------Plbg. Feel
$--- --------------------------------------------------------------------- -----------------------..-----------------.-.------------- ---.;2.,._t2::r2----_Total
---------------------FiDaI OK I $---------------------------------------------------------------------- City T,.""., Date !F // -
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby a
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher Igrwed by the _undersigned thlt no other uses will be mede of the above connections except as h",einaltor listed.
¡¿,
.,------------ Plumbe,
-_/. .~o-----~¿ï----~;;'-"--h---~~¡¡;;;;-----------------------
---.,--oJ I' /Ã~ 0.. -----------
-----.,,-V-"" ---
-- --------f.umbln9 I::~' ---. ---- -- -----------------.----------------------
---------------------...