HomeMy WebLinkAbout0009283-Plumbing (water heater)
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I Lol No. I Block I Ward I.. ~ddilion or Replat
OUTSIDE WORK
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01
Plumber
Date
NIW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
"*"m Curb 10 BuDding Electric Pumps From Curb 10 Buüd!ng
Repair
INSIDE WORK
110. NEW UP. USED ...S NO. NEW REP. USEO FEES NO. NEW REP. USEO FEES
~ - -
Ba!b Tub Garbage DiIpooa1a Caich Bulna
-
Wub Buin Dishwuhen I~ Conductors
- - -
Water ClOMI LaundrlUl1llÙ Greue Catch Bulns
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SIDk .. Water Softeners Sump Pump II< Ejectors
Waler Heate.. / 1¡j,ð Sanitary Bubblers Bar and Soda Wasles
Shower Baths UriDa1s
I~ I-- - -
noor Drains Denial Cuspidors
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Laundry Tuba Service Sinks
IJllpections 4f: II :~z. ~~ ~..=:~::.::::.=: Fee Verified. Receipted and Recorded Received Permit and Inspaellon Fees
..-...................................................Ouiside ~:::.o.:¡j::::::::n:~r F:7
..........................................................Inside ~.o..ö.....Total
....--.....................................-......-...-.- $...........................................................................
-........-.--..........-.....FiDal OK $......................................................................-.. ......... ..."......'...ë";iÿ.,,;-';;;,;"..........."'.......". Dala¿¡F/oh&,
In the performance of this work Ihe undersigned owner (or his authorized agent) 01 said premises and his authorized Plumber hereby agree 10 be bounden by and
submll 10 all stalules. city ordinances, and rules and regulations prescribed by Ihe Board of Public Works for Ihe governmenl 01 Plumbers.
Ills lulher agreed by the undersigned Ihal no olher uses will be made of Ihe above connections except as hereinaller I~ed.
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