HomeMy WebLinkAbout0009622 P
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Due
OUTSIDE WORK
NOW SEW" WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From Me!n 10 C...b Seplic Tanks From Main 10 Curb
~ C...b 10 BullcIlnll Eleclric Pumps From C...b 10 BuUding
Repair
INSIDE WORK
110.
NEW
USED
REP. I USED
NO.
USED
FEES
NEW
REP.
NO.
NEW
FEES
"ES
RIP.
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BUb Tub
Garbage DiapooaJo
Diabwuhers
Catch BuiDs
1-
Conduclors
Wub BuiD
-,-
Wuer ClOM'
Laundrama.u
Greue Cuch BuiDs
f---
SIIiIr:
Wuer Softeners
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Sump Pump 8< Ejeclors
Waler Heuen
Sanilary Bubblers
Bar and Soda Wules
Shower BaIha
Urinals
noor DrUna
Denial Cuspidon
Laundry Tuba
IDipecliona
----..--..-..-------....--..---.......---___.._Oulside
------..----....----------------------------,_------Inslde
Service SiDks
Foe Verified. Receipled and Recorded
Received Perml! and Inspecllon Fees
-----------------------Sewer Fees
)&--0
--::::::i:::~:::; Fee.
Dale /d..2dl.76
Valuuion of Ihe Work HereiD Descrihed
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In the performance of this work the undersigned owner (or hi. authorired agent) of .aid preml... and hi. authorized Plumber hereby agrea to ba bounden by end
submit to all statutas, city ordinances, and rule. and rogulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agroed by the undersigned that no other uses will be made of the above connections except as hereinafter Ii.ted.
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