HomeMy WebLinkAbout0001228-Plumbing (water heater)
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Name
of
Plumbe~
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NOW SEW" WA"R STORMS fEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic TaDks From Main 10 Curb
FroID Curb 10 Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
FEES
REP.
USED
flES
NO.
NEW
REP. I USED
FEES
NO.
NEW
REP.
USED
Beth Tub
Garbage Dispooals
Calch Bum.
f--
Wesb Buin
Dishwuhers
Conductors
WatN CI_I
La~-
I---
G~- Catch Bum.
SIIIk
Water Softeners
Sump Pump" Ejectors
I
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VrØ
sanUuy Bubblers
Water Heaters
Bar and Soda Wasles
ShOWN Baths
Urinals
FI~ DraIJIs
Denial Cuspidors
La....., Tubs
Serrice Sinks
~:~~:_._------_..--.._.._.__--Oulside :9Z_~:r_:--::::i:_::~:_=: Fee Verified. Receipled and Recorded R~~i;_;~_S:::e:n=lion F-
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In th. performanc. of this work th. undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby egree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
nderslgned that no other uses will be made 01 the above connedions except as hereinalter listed.
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