HomeMy WebLinkAbout0009432-Plumbing (kitchen sink)
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I Lot No. -- --- - J Block I Ward I Addition or Replat
N-
of
Plumber
Date
OUTSIDE WORK
NOW SEwn WAtER STORMS FE" FEES RELAY S. SEWER WATER STORMS fE"
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to Building Eleclzic Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
USED
NO.
NEW
REP. I USEO
NO.
fEES
UP.
fI..
Bath Tub
Garbage DlspooaJa
/
- I
L'
j¿-e/
lu-cl
Conductors
Catch Basins
I-----
Wash Basin
Dishwashers
Wat.. Cl_t
Laundramats
Gre... Catch Basins
SIDiI:
/
II. o-d
Waler Softeners
NEW
USED
FEES
REP.
Water Heate..
Sanitary Bubblers
Bar and Soda Wastes
Sump Pump Ie Ejectors
~
Received Permit and Inspection F...
---.-.-.---.------Sewer F-
::::::~':~:::::; F..s
'2- ,t&ð. 7b
Sho".. Baths
Urinals
Floor Dreins
Launclrr Tubs
Dental Cuspldo..
Service Sinks
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Valuation of the Work Herein Described
S -----!:;/-- ¿;L fl. - "'~ ---- - -. .--.---- - -- -...---
e
Fee Verified. Receipted and Recorded
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e
Date
In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby agrae to ba boundan by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
II Is futher agreed by tho undersigned that no other uses will ba mode of the above connection
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