HomeMy WebLinkAbout0001252-Plumbing (wash basin & dishwasher)
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Name
of
Pl\amber
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I Lot 11'0. I Block I Ward IAddition or Repl&!
OUTSIDE WORK
Permit N° .
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Dale
NIW SEWE. WAlE. STORMS fEES FEES ."AY S. SEWE. WATE. STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
!'Wom Curb 10 Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
....
USED
"ES
NO.
NEW
.E.. I USE'
FEES
"O.
NEW
.E..
USE'
FEES
Bath Tub
Garbage DiI~
Catch BulDs
1---1 /
ConductO..
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Wub Buin
Dishwuhero
WaiN CI_I
LaundrllDala
Grease Calch BulDs
SIDlE
Waler Softene..
Sump Pump" Ejecto..
Water Heale..
Sanitary Bubblers
Bar and Soda Wasles
Show.. Batha
UriDaJa
Floor DraIDs
Denial Cuspido..
Laundry Tubs
Service Sinks
Iaapsctlons Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his authorized agont) of said premises and his authorized Plumber hereby agree to b. bounden by ."d
submit to all statutes. city ordinances, and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
II Is Iuther agreed by ti!e undersigned that no other uses will be made 01 the above connections except as hereinalter listed.
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