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HomeMy WebLinkAbout0001182- Plumbing (repair water service) ...~ ) ) lIame of Plumber ~~___PZ;¡ZIM::W~,::it ..~~-;:~-~~~ Y- LL_otNO. b I Ward I Addilion or Replat OUTSIDE WORK Date Naw SEW" WATER STORMS fEES fEES RElAY S. SEWER WATER srORMS fEES From MelD 10 Curb Seplic Tanks From Main 10 Curb From Curb 10 Building Eleclric Pumps From Curb 10 Building Repair ~ II, ()Ò INSIDE WORK , NO. NEW ..,. USED fEES NO. NEW REP. USEO FEES NO. NEW REP. USED FEES BeIh Tub Garbage Diapooals Caleb Bu"" Wub BuiD Diabwuhen Conductors 1- - - - - Water CI_I Laundnmm Gr.... Catch Bulna I-- SIrIk Water Softeners Sump Pump Ik Ejectors Water Heaters Sanilary Bubblers Bar and Soda Wasles Shower Batbs Urinals - Floor Dralu Denial Cuspidors f-- - - Laundry Tuba Service Sinks Inspecllons Valuallon ~h ork Herein Described Fee Verified. Receipled and Recorded Received Perml! and Inspecllon Fe.. -.-.- .-.----------- ----....... -- -- -...-- Oullide $_...?<?!' -----...----------------...---------..----------...--- --_nn...n...nnn----...Sewer F- ----------------.-----------------....----...-----Inside _...--j!n_~......_PIbg. Fees =::f4J77:::=:::::::::::;~-~; $---- ----"'_00_---------"""------"""----00-0000_..._..._--___0000- D~~b%o);? _0000--"'00----_- ----ëííÿ-Tr.;;~r.;----------------------"" $-------------------------------------------------'_---00-------00_00_00- In the performance of this work the undersioned owner Cor his author;2.d ....nl\ ... <old nr~~',~, s.d ~I. ....~..'__d O'.._L-- L..Ln --_uo L . submit to all statutes. clly ordinances. and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers. \¡ the undersigned that no other use. will be made of the above connections except as hereinafter listed. ¡;t: ~ - í/,,:- -- - - ~'2 -;¿ 2.~;~ f!-. ~~~dr _':-2f. ~'::-. -~- -- ==:~---7-n_~-/- Y9'#.*-~; -:i2----- nn_o/4é-~~~od ;g;;;ï------nn--mm----- --- "";'blng IÕ;¡;;;;,,--------------_..._-------_--_n-----------_----_:-----