HomeMy WebLinkAbout1978-Plumbing (water heater)
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Name
of
Plumbu
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[ Lot No.
~ I Ward
OUTSIDE WORK
I Addition or Repl&!
Date
Naw SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
FIOII1 M8In to Curb Septic Tanks From Main to Curb
From Cub to Building Electric Pumps From Cub to Bunding
Repair
INSIDE WORK
NO.
NEW
..,.
NEW
RE,. I USED
FEES
FEES
"o.
NEW
REP.
USED
USID
liES
NO.
Bath Tub
Garbage Dispcoals
Catch Basins
I--
Wasil Basin
Dishwashers
Conductors
Watu CIONt
Launclramats
Grease Catch Basins
I--
SIDk
Water Softeners
Sump Pump Ik Ejectors
I
p
Sanitary Bubblers
Bar and Soda Wastes
f7.""--
Water Heate..
Showu Batha
Urinals
noor Dreins
La""dry Tube
Dental Cuspidors
Service Sinks
Iaapections ._.........Outslde
~:~:~:~:=::::=::=::~~::=:::::::::::...._.......Inside
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$............................................................................
$..................-..-..........................-.......................
Fee Verified. Receipted and Recorded
Received PermU and Inspection F-
.....................Sewer Fees
......f~........plbg. Fee.
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---..-...........-...........--Final OK
In the performance of this work the undarsigned owner (or hi. authorized agent) of .aid premi,es and hi. authorized Plumber hereby a~ be boundan by ""d
submit to all .tatute., city ordinances, and rule. and regulations prescribed by tha Board of Public Works for the govarnmant of Plumbers.
dersigned that no other uses will be mada of the above connections except as hereinafter listed.
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