HomeMy WebLinkAbout0001256 P
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
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of
Pluml>e.
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Date
NOW SEW" WAnR STORMS FEES FEES R"AY S. SEWER WAnE STORMS FEES
From MaIn to Curb Septic Tanks FROm Main to Curb
hoD> Curb to BuDding Eleclric Pumps From Curb to Building
Rapair
INSIDE WORK
USED
FEES
NEW
REP.
,<0.
REP. I USED
FE"
NEW
NO.
FlES
REP.
USED
NOW
NO.
-
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Catcb BulDs
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Garbage Dilpon]s
Bath Tub
--
Conductors
Dilbwuh&rs
Wub Buin
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Graue Catch Buw
LaundRamatII
Wat.. CIONt
f--
/,Oð
/
Sump Pump It Ejeclors
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Water Softeners
ShIk
Bar and Soda Wastes
j. ¡yt>
Sanitary Bubblers
Water Heate..
Urinals
Show.. Batha
/
/
j,ov
Dental Cuspidors
nOOR »RaIDs
Serricø Sinks
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LaundRy Tubo
Jupacl1ou
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Receiyed Permit and Inspection Fees
----------------------------Sewer Fees
------:,B',--QQ-----PIbg. F..s
D~~:--~~&7
Fee Verified, Receipted and Recorded
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---------------Cii:,Ti~;;~;~;--------------------------
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In the performance of thi. work the undersigned owner (or hi. authorbed agent) of said premi.es and his authorirad Plumber hereby agree to be boundan by and
submit to all .tatutes, city ordinances, and rules and regulations prescribed by the Board of Public Work. for the government of Plumbers.
derslgnad that no other uses will be made of the above connection. except a. hereinafter listed.
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