HomeMy WebLinkAbout0009160-Plumbing (sink)
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Plumber
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I Lot No. -I Block I Ward I Addition or Replat
OUTSIDE WORK
Dale
NEW SEW" WAIER STORMS FE" FEES RElAY S. SEWER WAIER STORMS fEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
""'m Curb 10 Building Electric Pumpa From Curb 10 BuUdh1g
Repair
INSIDE WORK
NO.
NEW
RIP.
NO.
NEW
REP. I USED
"D.
fEES
NEW
REP.
USED
FEES
USID
FlES
BaIb Tub
Gorbage D~
Dlshwuhers
Catch BulDs
Wash Buin
Conductors
Water CI_I
Laundramals
Grease Catch BulDs
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Sink
ILl
Waler Softeners
Sump Pump 8< Ejectors
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Waler Healers
Sanitary Bubblers
Bor and Soda Wules
Shower BaIhs
Urinals
F1oor Drelns
Laundry Tubo
Dental Cuspidors
Service Sinks
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Valuation 01 the Work Herein Described
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$ nm m mnn mm_- h-_' -- m m_m nnm m_h__' __m. mm_---
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fe..
mm__mmnmmnmSewer F-
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Date
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_____m______mm____-_--f'1na1 OK
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In the pariormance of thi, work the undersigned owner (or his euthorired agent) of said premises and his authorired Plumber- hereby egree to be bounden by end
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 .greed by the undersigned that no other uses will be made of the above connections except as hereinaltar listed.
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