HomeMy WebLinkAbout0000985-Plumbing (water heater)
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Plumller
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I Lot Ho. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Date
NEW SEwn WATER SrORMS fEES fEES RELAY S. SEWER WATER SrORMS fEES
From MaIn to Curb Seplic Tank. From Main to Curb
FJom Curb 10 BuDding Electric Pumps From Curb to Building
Rapair
INSIDE WORK
110. NEW RIP. USEO FlES NO. NEW REP. USED fEES "O. NEW REP. USED fEES
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Bath Tub c-- Garbage Dispooals Catch Basins
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Wub Basin Dishwashers Conducto..
l--- - - -
Water CI_t Laundrama.ls Graue Catch Basins
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Sink: Water Softener. Sump Pump 8< Ejectors
I Waler Heate.. ,...-/ l,ðÒ Sanitary Bubblers Bar and Soda Wastes
Shower BaIhR Urinals
noor Dralu Dental Cuspido.. I---
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Laundry Tubs SerVice Sinks
Inspections Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permü and Inspection Fees
-.---.---....-..-..........-..--------......Oullide s¿c2C2Z........................._..................- -.......-.....--............Sewer Fees
.------------..........--.....-....--..-----------Inslde .Ù.PQ........--PIbg. Fees
S............................... """""'-""'-"....-"'-----"""" ...4..Ci.Q.........--Total
-------..-.-....------...-.-..-.......--..-.- .... """"""""ë';iÿ'T,ë;;~;ë;""""--""""""""
----------....-----..-F1na1 OK S......................-... """"""""""-.................'-'- Date /-4. - 7 ;?
In the performance 01 this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby egree 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 01 Plumbers.
Ills luther agreed b~the undersigned that no other uses will ba made 01 the above connections except as hereinalter listed.
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