HomeMy WebLinkAbout0001002-Plumbing (sink & dishwasher)
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I Lot Ho. I Block I Ward I Addition OR Replat
OUTSIDE WORK
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1002
Date
NEW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MoIIL to Curb Seplic Tanks FROm Main to Curb
FJom Curb to Building Eleclrlc Pumps From Curb to Bundlng
Repair
INSIDE WORK
110.
NEW
UP.
USED
FlES
NO.
NEW
REP. I USE.
FEES
NO.
NEW
REP.
USE.
'EES
Beth Tub
Garbage Dlsponls
Catch Basbu
1---------.
I
Conduclors
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Wuh Basin
DÏJlhwashers
Water CI_t
LaundrllllULb
Grease Catch Basbu
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+-
vY
Sump Pump Be Ejectors
I/a
SIDk
WateR Softeners
WateR Heaters
Sanitary Bubblers
Bar and Soda Wastes
SboW8R Bathl
Urinals
FlOOR DR8Iu
Laundry Tubs
Dental Cuspidors
I~-
Service Sinks
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Valuation of the WoRk Herein Described
$d.,Q~~................._.._..............
$.
.
Fee Verified, Receipted and Recorded
Received Permit and Inspecllon Fees
.......................Sewer Fees
....~..QÖ....PIbg. Fees
.....;2.LQ.Q.....Total
Dale /-6-7/
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In the 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 a/l slatutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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