HomeMy WebLinkAbout0001781-Plumbing (bathroom)
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I L<>I No. ~ I Block I Ward I Addilion or Replal
OUTSIDE WORK
Dale
NIW SEwn WATE. STORMS FEES FEES .ELAY S. SEWE. WATE. STORMS FEES
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From MaIn 10 C".b Seplic Tanks From Main 10 Curb
From C".b 10 Bulld1ng Eleclric Pumps From C".b 10 Building
Repair
INSIDE WORK
NO.
NEW
RE'.
USED
FlES
NO.
NEW
.E,. I USE.
FEES
"O.
NEW
.E,. I USE.
FEES
1
1
I
/
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Conduclon
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Bath Tub
Gubage DilpooaIs
Calch Basins
Wash BaslD
Dilbwasben
c/
Water ClONt
LaundzamaiJI
Grease Caleb Basins
+---
SIDk
Waler Soflenen
Sump Pump II< Ejeclon
Water Healen
Sanitary Bubb1en
Bu and Soda Wasles
Shower BatbI
Urinals
f---
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F1oor DraiDa
Laundry Tubo
Denial Cuspidon
SerYiee Sinks
Inspecl1ons ,/n, J Valuallo~ of Ihe Work Herein Described Fee Verified, Receipled end Recorded Received Permil and lnspecllon Fees
_._nm_.n"-:--_"~~Z:::~lside $~/.!2 ~¿Z¿ m3mnmnmSewer Fees
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby agree to ba boundan by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
that no other uses will be made of the ebove connections except as hereinanar listed.
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