HomeMy WebLinkAbout0001616-Plumbing (laterals)
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I Lot Ho. I-Block I Ward -. ...1 Addition or Replat
Dat.
OUTSIDE WORK
NEW SEWn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
FROm MaIn to Curb Septic Tanks From Main to Curb
~m Curb to DuUdlng "..--- ........-- c.f./V> Electric Pumps FRom Curb to BuUdmg
Repair
INSIDE WORK
NO.
NEW
....
NEW
NO.
FEES
NEW
REP.
US..
REP. I USE.
FEES
US"
PRES
NO.
BathTub
Garbage Dl8pooa1s
Dlshwuhers
Catch Buins
Wuh Buin
Conductors
Wataa CIONt
LaundRamatR
Gre.... Catch Buins
I----
SIDk
Water Softeners
Sump Pump 8< Ejectors
WateR Heate..
Sanitary Bubblers
Bar and Soda Wutes
Show.. BathR
UriDals
Floor Dralu
Dental Cuspido"
LeundRy Tuba
Service Sinks
Inspections
-_..........._-_................................Outside
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Valuation of the Work Herein Described
$.~$!...~..........._......................-
$.
e
Fee Verified, Receipted and Recorded
Received Permit and Inspection Fees
......Æ..~...Sawer Fees
.......I~-~.....PIbg. Faas
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In 'th" Performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to ell statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersjgned thet no other uses will be made of the ebove connections except as hereinener listed.
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