HomeMy WebLinkAbout0009526 P
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I Lot No. - I Block H -- j Ward I Addilion or Replat
Permit N~ - 952ð
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Data
OUTSIDE WORK
NOW SEwn WATE' STORM' FEES FEES .EIAY S. SEWER WATE' STORMS FEE'
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 Building Electric Pumpo From Curb to Building
Repair
INSIDE WORK
NO.
NEW
..,-
U'ED
NEW
FEES
NO.
NEW
U'ED
'EES
.E'.
fEES
NO.
.E'. I USED
-
Bath Tub
Garbage Diapoaa1s
Catch Buins
1-
Wuh Basin
Diahwashen
Conductors
Water CI_I
Laundrama18
Gre... Calch Basins
I---------
Sink
Waler Softene..
Sump Pump Ik Ejectors
Walar Healen
I
Sanilary Bubblers
Bar end Soda Wastes
¡.o-ð
Shower Balha
Urinaia
noor DraIDa
Dental Cuspidon
Laundry Tubs
~:~::.._-------_.._--------.._----____Oulside
Service Sinks
Valuation of the Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permit and Inspection F...
----------------------------Sewer Fees
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---------..---------------..-----------------_..--------Inside
.
------....-----------------Fina1 OK
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Dale
éf'.3. 7b
In the performance of this work the undersigned owner (or his authorired agent) of said premises and hi, authorized Plumber hereby agree to be bounden by ond
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 thet no other uses will be made of the above connections except as hereinafter listed.
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.1ð.."£. ¡£;;I: _.d.
L p'umO
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