HomeMy WebLinkAbout0009436-Plumbing (water heater)
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Dale m___J Lo.t No. 'm _J Block I Watd -_J Addition Ot Replat
OUTSIDE WORK
NEW SEWn WATER STORMS FEES FEES RELAY S, SEW'R WATER STORMS FEES
From MaIn 10 C...b Septic Tank. F:om Main 10 Cutb
From C...b to BuDding Electtic Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
uP,
"'S
NO,
NEW
REP, I US,.
FEES
NEW
USE.
'EES
NO,
REP.
USED
_Tub
Garbage Disponh
Catch Bulas
Wasb Buill
Dishwashers
Conducto..
Water Closel
Laundramals
Grease Catch Bulas
f--
Sink
Water Softene..
Sump Pump B< Ejecto..
Water Heate..
I
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Sanitary Bubble..
Bar and Soda Wasles
Shower Ba!hR
Urinals
noor DraIDa
Denial Cuspido"
I~-
Laundry Tub8
~:~:_--------------------------____Outside
Service Sillb
Fee Verified. Receipled and Recorded
Received Permit and Inspection F...
----------------------------Sawer Fees
---,j:---~:"_---_Plbg. Faa.
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Dale '1. .;1/- 7 Þ
-_...------------------------------------------------Inside
Valuation of Ihe Work Herein Described
$___La__C¿__-~-----------------------------------------
$-
0
City T"",,"
---------------,---------------------------.-----.------
-.-...------------.-...-----Final OK
In the perlormance of this work the undersigned owner (or his authorized agent) of .aid premises and his authorited Plumber hereby agree to be bounden by and
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 agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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