HomeMy WebLinkAbout0009159-Plumbing (dishwasher)
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of
Plumber
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I Lo.I Bo. I Block I Ward I AddUion or Replat
OUTSIDE WORK
Date
NIW SIW" WAf.. STORMS FEES FEES RElAY S. SEWER WATER STORMS fEES
F...... MaIn to ClUb Seplic Tanks From Main to Curb
""'m ClUb to Building Electric Pump< From ClUb to BuUding
Repair
INSIDE WORK
NO.
NEW
USED
NO.
NIW
fE..
NEW
USED
fEES
REP.
RIP. I USED
"O.
UP.
fE"
_Tub
Garbage DlopoRaJa
Catch Bubls
I------
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Conducto..
Wub BulD
Dishwuhers
Wat.. Cl_t
Laundramata
Grøuø Catch Bubls
~L
SIDk
Water Softene..
Sump Pump 81: Ejectors
Wúar Heaters
Sanitary Bubblers
Bar and Soda Wutes
Show.. Batba
UrlDalo
noor Dralu
Dental Cuspidors
Laundry Tube
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Service SIDles
Valuation of the "/I{)' HerelD Described
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Fee Verified, Receipted and Recorded
Received Permil and Inspection Fe..
----1;.----- - -------_-----Sewer Fees
---- -,-4-~plbg. Fees
------ ---I-------u-----Total
Date "--/- /d"- 7(.
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City T,."".'
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In the performance of this work tho undersigned owner (or hi, authorized agent) of ,aid premises end his authorized Plumber hereby egrea to be bounden by end
submit to ell 5tatutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned that no other U50S will be made of the ebove connections except as hereine"er listed.
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