HomeMy WebLinkAbout0009431-Plumbing (cap sewer)
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OUTSIDE WORK
Date
NOW SEWn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From M8ID 10 C...b Septic Tanks From Main 10 Curb
From C...b 10 BuDding Electric Pumps From C...b to Building
Repair
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INSIDE WORK
NO. NEW REP. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED fEES
-
Búh Tub Garbage Dlspolala Catch Buw
I--- -
Wub Buin Dishwashers 1- Conductors
- - - -
Water Cl_1 Laundramais Grease Catch Buw
-
SIDk Water Softeners Sump Pump" Ejectors
Waler Heate.. Sanüary Bubblers Bar end Soda Wute.
Bhower Baths Urinels
Floor Dralu Dentel Cuspido..
Leunclry Tubs Senice Sinks I
I...pectio... Valuation of the Work Herein Described Fee Verüied. Receipted and Recorded Received P~ and Inspection Fees
...-.----------------------....--------------Outside $._----~-~--------------------_..__..._.._------------_.. -------/~----._=.-_Sewer Fees
.---.--------------...-.-----------..-----.----------Inslde ----------------------------PIbg. Fees
"--"----r¿i---~~-'----"--------"------ $-------------------------------------------------------------------------.. ,--_,-/'--~-----Totel
-- ----.. ...2- -_.._._-~ine1 OK $---.--------------------.-.-.---.---------------------------------------- ----------C¡iY-ÿ;:e..;;;;;-------------'--------'-" Date 7-";U, 7~
In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby agree to be bounden by ""d
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 mede of the above connections except as hereinafter listed.
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