HomeMy WebLinkAbout0001233-Plumbing (fixtures)
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I Lot Ho. ~ Block I Ward ---_J Addilion or Replai
OUTSIDE WORK
1233 Y
..........._........--
Date
NOW SEW" WATER S'ORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
F...... MaiD 10 Curb Seplic Tanks From Main 10 Curb
holD Curb ID BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
I Bath Tub
uh Basin
WatN CI_t
NOW
UP.
USID
NO.
NEW
REP. I USED
FEES
NEW
FEES
UP.
USED
flO.
FlES
I~
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G81'bage DiI~
Catch Baslu
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Dilhwashen
Conducto..
I~d)
Greue Catch BasinE
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Laundramalo
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SIDk
Water Softene..
Sump Pump Be Ejeelors
Water Heate..
Sanitary Bubblers
B81' and Soda Wasles
ShoWN Baths
Urinale
noor Drains
Denial Cuspido..
Laundry Tubs
~:--=--:_:_...--........_--.._...........Oulside
SerYice Sinks
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e
Fee Verified. Receipled and Recorded
Received Permit and Inspecllon Fees
............................Sewer Fees
D~I:~$~~7
...................-......-...-..--....-.-.-..-........1nside
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In the ""rform.nce of thi. work the unde..igned owner (or hi. .uthorized agent) of said preml.es .nd hi. authorired Plumber hereby .gr.. to be bounden by snd
submit to .11 .t.lules. city ordin.nces. and rules and regut.tions prescribed by the Board of Public Work. for the government of Plumbe...
unde..lgned Ihet no other u~s will be made of the .bove connection. except as hereinaftor Ii.led.
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