HomeMy WebLinkAbout0001190-Plumbing (dishwasher)
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Date
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Permit
NEW SEWD WATER STORMS FEES "ES RELAY S. SEWER WATER STORMS fEES
From MaIJ1 to Curb Seplic Tanks From Main 10 Curb
From Curb to Bundlng Electric Pumps From Curb to Building
Repair
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INSIDE WORK
NO.
NEW
USED
NEW
fEES
REP. I USED
fEES
1'0.
NEW
REP.
USED
NO.
REP.
flES
BaIb Tub
Garbage Di8pooa!a
Catch Bulrls
Wub Buln
Di8bwuhen
21 Conduclo..
Greue Catch Bulns
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- b2- 190
Water Cl_t
Leundrema18
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Sink
Water Softene..
Sump Pump &: Ejecto..
Water Heate..
Sanitary Bubble..
Bar and Soda Wastes
Show.. Baths
Urinals
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Floor Drains
Dental Cuspido..
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Laundry Tubs
Impeclions
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-------------------------------_._-----------------Inslde
Service Sinks
Fee Verified, Receipted end Recorded
Valuation of the Work Herein Described
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Received Permit and Inspection Feeo
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In the performence of this work the undersigned owner (or his euthorized agent) of said premises and his authorized Plumber hereby .gree to be bounden by and
submit to all statutes, city ordinences, and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
undersigned thet no other uses will be made 01 the above connections except as hereinalter listed.
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