HomeMy WebLinkAbout0001399-Plumbing (lateral)
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Pl\1J11ber
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I Lot No. J Block _I Ward I Addilion or Re >lat
Date
OUTSIDE WORK
NEW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER StORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
fIom Curb to BuDding V' .,/ ~ Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
REP.
USID
NO.
NEW
FEES
NEW
FEES
REP.
USED
REP. I USED
"O.
FI"
Bath Tub
Gørbage D18poAls
Catch BaslDs
I---
Wasb Bum
Dl8bwashers
Conduclora
Water CIONI
Laundramals
Grease Catch Basins
I---
Sink
Water Softeners
Sump Pump &: Ejeclors
Water Heate..
sanUary Bubblers
Bør and Soda Wasles
Shower Bathe
Urinals
Floor Dralu
Denlai Cuspido..
Laundry Tuba
Service Sinks
_.0 no 0 -- 0 - .. - _. nu_...u- n.
IDllpect1ons Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
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In the performance of this work the undarsigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
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 agreed by t.h,e undersigned that no other uses will be made of the above connections except as hereinafter listed.
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