HomeMy WebLinkAbout0001161-Plumbing (laterals)
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I Lol No. ~OCk I Ward_~ Addition or Replat
OUTSIDE WORK
Dat.
NEW SIWEI WATER STORMS '"ES FEES RELAY S. SEWER WATER STORMS FEES
From Meln 10 ClI1'b Septic Taaks From Main 10 Curb
!'10m ClI1'b 10 Bundlng ./ """"-- ~ Electric Pumps From Curb 10 Buildhtg
Repair
INSIDE WORK
NO.
NEW
RIP.
USID
NEW
FEES
USI.
FEES
NO.
NEW
REP.
"ES
NO.
REP. I USE'
Bath Tub
Garbage Disposals
Dishwashers
Caleb Basins
I--
Wuh Basin
Conductors
Waler CI_I
LaundrlUl1alB
Gre... Calch Basins
SID1o:
Waler Softeners
Sump Pump II< Ejectors
Waler Heal...
Sanitary Bubblers
Bar and Soda Was!es
Shower BaIhR
Urinals
F1oor Dralu
Denial Cuspidors
Laundry Tubo
Service Sinko
Inspacl1ons
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----..---...........................................------lDBlde
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âl-~f7.j/..JiDaI OK
Valuation of Ihe Work Herein Described
s_2so~..---.....---............................-
Fee Verified. Receip!ed and Recorded
Received Permi! and InspeclioD F...
.....3.!..t?P.....---.Sawer Fees
....j<..~------..Plbg. Faas
D~~:'~Äï):/
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.
City T,....,..
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Int~e perl"o~';'ance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agróe t6 be bounden by ..,d
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. luther agreed by the un