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PLUMBING PERMIT - O,hko,h, WI",..,I. "'-~5 ¡;
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'1 Block I Ward I Addition or Replat
OUTSIDE WORK
I Lot Jlo.
Date
NOW SEW" WAT" STORMS FEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From MRin to Curb
FJom Curb to BuDding Electric Pumps From Curb to Building
RepRÏr
INSIDE WORK
NO.
L 1 UP. 1 USED I flES I
J
J.
i
Bar and Soda Wastes
NO.
NEW
REP. I USED
fEES
NO.
NEW
REP.
USED
fEES
Garbage DiI~- J i
Dilbwashen /'11-
Laundramabl 7
Bath Tub
Wub BuID
_1
9-
d:
ì
L
j
Cùch Basins
Conductors
Watar CIONt
Grease Catch Basins
7
SIDk
Sump Pump" Ejectors
J
Water Softeners
Wùer Heaters
Sanitary Bubblers
Shower Batha
V'J~ "P- '1<F U lE
'1-/-
Urinals
Floor DraIDI
J
r--
i
Dental Cuspidors
Leundry Tullo
Service Sinks
~:~.:- ..... ---- ----..-....Oubide V¡aiiOn of thö Work Herein Described Fee Verified. Receipted and Recorded R~:i~~~..~~~=~.:"::e:n;,:lion Fe..
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(NY.. K/-t./iz.= $...................................-.............-.............. /-S: Ò OT t I
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In the performance of thi. work the under.igned owner (or his authorizad agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to ell .tatutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers,
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