HomeMy WebLinkAbout0009430-Plumbing (repair sewer)
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I Lo.I No. I Block I Ward I Addilion or Raplat
OUTSIDE WORK
17
Dat.
NEW SEWEll WATER STORMS FEES fEES RELAY 5. SEWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main to Curb
!'10m Curb to BuDding Electric Pumps From Curb 10 BuUding
Repair ~ ...--- i. reJ
INSIDE WORK
NO.
NEW
REP.
NO.
NEW
fEES
N'W
fEES
REP.
USED
REP. I USED
"0.
USED
"'5
Batb Tub
Garbage DiapooalJ
Catch Basins
f--
Wub Basin
Diabwasben
Conduclors
W- CI_t
Laundramall
Gre... Catch Basins
I--
SIDle
Water Softeners
Sump Pump 8< Ejeclors
Water Hoato..
Sanitary Bubblers
Bar and Soda Wasles
Sbower Batba
UriDaia
Floor Dra1D8
Denial Cuspidors
Laundry Tube
Service Sinks
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Valualion of Ibe Work Herein Described
$---~'-_:~--------------------------------------------
$-
0
Fee Verified. Receipled and Recorded
Received ~11 and Inspeclion F...
------þ---nn---------Sewor Fees
___._n_n__---:::-__n__PIbg, F..s
_n-----J..--.~----TOlal
1- ¿:¿Cl ~ 7 Ç:,
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City Troo"'"
Dale
In tho performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber heraby agroo to ba bounden by and
submit to oil statutes. city ordinances. and rules and regulations proscribed by the Board of Public Works for tho government of Plumbers,
It is futhor ogreed by tho undersigned that no other usos will bo made of the above connections except as hereinafter listed.
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