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I Lo.I Ho. "' Block I Ward '..Addition or Replat
OUTSIDE WORK
Dale
NIW ,EWn WATER STORM' FEE' "E' RELAY ,. 'EWER WATER STORM' FEE'
From MaIn to Cub Septic Tanks From Main to Curb
From Cub 10 BuUdIDg Electric Pumps From Cub to BuUdhtg
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
I fEES I NO.
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Caich BaslDo
NEW
REP.
USE.
FEE'
U'ED
FRE'
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Sanitary Bubblers
Bar and Soda Wastas
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Bùh Tub
Garbage DÙlpooals
DÙlhwashars
Conductors
Wuh Basin
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Grease Cateb Basins
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LaundrlUD1lU
Wet... CI_t
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Sump Pump" Ejectors
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SIDk
Water Softeners
Wate;r Heatti's
Show.. Baths
Urina1s
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Dental Cuspidors
noor Drains
Laundry Tube
Service Sinks
IIIIIpect1ons Valuation Of!f;¿ Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fe..
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In the performance of this work the undersigned owner (or his authorized agent) of ,aid 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.
undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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