HomeMy WebLinkAbout0009489-Plumbing (water lateral)
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I Lo.I No. I :Ck l Ward. l Addition or Re"lat
OUTSIDE WORK
Date
NOW SEwn WATE' STORMS 'EES FE" "'AY S. SEWE' WATE' STORMS FE"
From MaIn to Curb Septic Tanks Frcm Main to Curb
Frcm Curb to BuDding Electric Pumps F~9m Curb to Building ~ /.Dõ
Repair
INSIDE WORK
NO. NEW ..,. USED RES NO. NEW 'EP. USE. FEES NO. NEW ..,. USE. RES
- - -
Bath Tub Garbage DiIpoAls Catch BaslDs
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Wub Basin Dishwashers Conductors
- - - - -
Wat- Cl_t Laundr8llllWi Grease Catch BaslDs f---
Sink Water Softeners Sump Pump Be Ejectors
Watu Heaten Sanitary Bubblers Bar and Soda Wastes
Shower Baths Urinats
F1oor DrelDs Dental Cuspidon I
Laundoy Tubs Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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..---....-.-___.__m_..---EiDal OK $m..mm...............m............mmm..m..m......_...._-
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 ond
submit to all statutos, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Js futher egreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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