HomeMy WebLinkAbout0009835-Plumbing (sink)
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I Lot Jlo. lBloCk I Ward I Addition or Replai
OUTSIDE WORK
Dale
Haw SEWn WATER STORMS lEES lEES REtAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
""'m Curb to BuUcllng Eleciric Pumps From Curb to Builcllng
Repair
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INSIDE WORK
110.
NEW
UP.
NO.
NEW
REP. I USEO
"O.
NEW
REP.
fEES
UIED
lEES
USED
flES
Bath Tub
Garbage DlIpooaItI
Caleb Basins
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Wash Basm
Dishwashers
Conductors
Waler CIOHt
Laundr8JIU!Ù
Grease Caich Basw
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SiDII:
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Waler Softeners
Sump Pump" Ejectors
Waler Healers
Saniiary Bubblers
Bar and Soda Wastes
Shower BaIhII
UrlDall
Floor Dralu
Dental Cuspidors
Laundry Tubo
Service Sinks
Inspactions
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v: ;tion of the Work Herein Described
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Fee Verified, Receipied and Recorded
Received Permit and Inspection Fe...
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Date
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-----------Final OK
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all staiutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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