HomeMy WebLinkAbout0009257-Plumbing (repair sewer)
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Name
of
Plumber
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEW" WAtER STORMS fEES fEES RELAY S. SEWER WAtER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to Bunding Elecb:ic Pumps From Curb to Building
Repair ;;/'y,'7 ~Ô()
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INSIDE WORK
NO.
NEW
UP.
USED
NEW
fEES
NEW
USED
fEES
UP.
flU
NO.
REP. I USED
"O.
Bath Tub
Garbage Dilpooek
Dlshwuhen
Catch Butos
Wub Bum
Conductors
Water Cl_.
Laundramats
Greue Catch Butos
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SIDk
Water Softeners
Sump Pump Be Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wule.
Shower Baths
UrIDals
Floor DralDs
Denial Cuspidors
Laundry Tubs
Service Sinks
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Y~ation of Ihe Work Herein De.cribed
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$-
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Fee Verified. Receipled and Recorded
Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his euthorized agent) of said premis.. and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinance., and rule. and regulation. prescribed by the Board of Public Work. for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the ebove connections except as hereinefter I~.
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