HomeMy WebLinkAbout1978-Plumbing (water heater)
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OUTSIDE WORK
l Addition or Replat
Date
NEW SEWEI WATER STORMS FEES 'EES RELAY S. SEWER WATER STORMS fEES
From Main to Cml> Septic Tanks From Main to Curl>
From Cml> to BuDding Electric Pumps From Cml> to Building
Repair
INSIDE WORK
NO. NEW u,. uSIa FlES NO. NEW .E'. USED FEES NO. NEW .U. USED 'EES
- - - - - -
Bath TuI> Garl>age Dilpooa!o Catch BuiDs
-
WuI> Buln Dilhwuh... Conductorl
1- - - - -
Water CIONt Laundramats Gre... Catch BulDa
f---
Sink Water Softeners Sump Pump Be Ejectors
I Water Heate.. ../ /,./' Sanitary BuI>blerl Bar and Soda Wutas
Shower BùhR Urinals
Floor DreiDR Dental Cuspidorl r
Laundry TuI>s Service Sinks
Inapections Valuation of the, Work Herein Described Fee Verified. Receipted and Recorded Received Permit and ¡nspeelion Fees
-----.---.--------------------------.---------Outlide $d2:r1t2_-~--------------------------------.._-------_.- _:::_:z::~::::::~:r F:7
-----------.------------------------------.--------Inaide
==~~Þ;h7---;~-~; $---.-.--.--------- ------------.------------------------------------------ _------LL~_-----Total
$----------.------.--------------------.------.------------------------ ----- ---------------------é-;ìÿ-T;~;;;;~;------"------------------ Date ?/Nh/
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby egr.. to be bounden by and
submit to all statutes. city ordinances. and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
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