HomeMy WebLinkAbout0009021-Plumbing (laterals)
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Date I Loi No. .. ~ I Ward I Addition or Replat
OUTSIDE WORK
NEW SEwn WATER STORMS FE" FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb 41/( /~ Seplic Tanks From Main 10 Curb
From Curb 10 Building 7( /C- '\ !/ÓO Electric Pumps From Curb 10 Building
-f-J Repair
Received Permit and Inspeclion Fees
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INSIDE WORK
110.
NEW
USED
NO.
NEW
REP. I USED
1<0.
NEW
FEES
u..
RES
BathTub
Garbage DilpooaII
C&Ich BuIDs
Wuh BulD
DiahwBlbon
Conduclorl
Wav CI_I
Laundram81l
Gre- Catch BBlIDo
BiDk
Water Sottenerl
Sump Pump 8< Ejeclorl
Walor Heaten
Sanitary Bubbler.
Bar and Soda Wasle.
8howv B81hI
UriDaiI
noor Drains
Denial Cu.pidors
Laundry TubI
Service Sinko
Iupoclionl ...Oullide
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Valualion of Ihe Work HerelD De.cribed
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Fee Verified. Receipled and Recorded
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RE.. I USED
fEES
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized 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 herelnaner listed.
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