HomeMy WebLinkAbout0009678-Plumbing (deduct water meter)
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Kame
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I Lot No. I BlOCk- I Ward I Addition or Repla.l
OUTSIDE WORK
Dat.
NIW SEW" WATER STORNS FEES lEES RELAY S. SEWER WATER STORNS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
FIom Curb 10 BoUdlng Eleclric Pumps From Curb 10 BuUding
Repair
/JuLAr ~ 1°0
INSIDE WORK
110.
NEW
UP.
NO.
NEW
REP. I USED
NO.
lEES
NEW
R.P.
USED
FEES
USED
lEES
_Tub
Garbag. Dllposals
Catch Bulns
f---
Wub Buln
Dllbwuhen
Conduclors
Wat.. C_I
Laundremats
Gre... Catch Bulns
l-L
Sink
Water Softeners
Sump Pump 8< Ejeclors
Waler Heat...
sanUuy Bubblers
Bar and Soda Wules
Sho....BatiUI
UrlDals
Floor Drains
Denial Cuspidors
Laundry Tubs
~:~':-_-------------------_.------_----Oulside
Service Sinks
Fee Verified. Receipled and Recorded
Received Permi! and Inspection Fees
........--------------------Sewer Fees
-:-;¡;r.l~..9..~....plbg. F..s
Dat~Ù~-~iJ ¿;
-..--------------....-------..------..----------.-------Inside
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$----..----.-------------------..-....------------------------------------..
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City T'...u."
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__--'tIL2_I--Z_J/;------P1Dal OK
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In the performlnce of this work thl undersigned owner (or his Iuthori.ed agent) of slid premises and his author ired Plumber hereby Igree to b: bounden by and
submit to all stltutes, city ordinlnces, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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Plumbing In.po<1O'