HomeMy WebLinkAbout0001288-Plumbing (laterals)
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'1 Lot No. b I Ward I Addition_or Replat
OUTSIDE WORK
Date
NEW SEwn WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS FEES
1/11' Cyr 1/
From Mein to Curb Ie..- Septic Tanks From Main to Curb
~m Curb to BuDding 1¡/fC 'I / If r'< I !!i¡)O Eleolrio Pumps From Curb to Building -
/' Repair
INSIDE WORK
NO.
NEW
UP.
FEES
USID
NO.
NEW
REP. I USED
FEES
"°.
flES
NEW
REP.
USED
BathTub
Garbage D~
Catob BaslDs
Wuh Basin
Dishwashers
ConduoloTl
Wat.. CIOI8t
Laundramats
Gre... Catch Basins
t-
SIDk
Water SofteneTl
Sump Pump 8< EjeotoTl
Water Heaters
Sanitary Bubblers
Bar and Soda Wastes
Sho..... Baths
Udnats
Floor Dralu
Dental Cuspidors
Laundry Tub8
Service Sinks
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Valuation of the Work Herein Described
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$--------------------...--...---------------------------.-..-----------.---.
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Fee Verified. Receipted and Recorded
Received Permit and Inspeollon F...
~...s>._c>...---Se...er F...
::i:'~~f¿~::::::; Fees
Date 5 ~d-/? ð
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-----.---.---------------1'inal OK
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to ba bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher egreed by the undersigned that no other uses will be mode of the ebove connections except as hereinaftor listed.
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. Own.. of ..eml... '" hi, autho'lo'" .. --------
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PlumbIng no_,
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