HomeMy WebLinkAbout0001806 P
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I Lot No. I Block ~I Ward I AddUion or Replat
OUTSIDE WORK
Dale
NIIW SIWEI WAUR STORMS FEES FEES RELAY S. SEWER WAUR STORMS FIE'
From MaIn to Curb Septic Tanks From Main to Curb ¡../' I.." ~
¡c..r,
From Curb to BuDding Electric Pumps From Curb to Building V---
Repair
INSIDE WORK
NO.
NEW
UP.
NIW
FEIS
RIP. 1 USED
FEES
NO.
USID
FIlS
NO.
NIW
REP.
USED
Bath Tub
Garbage DiIpooaIo
Calch Bulns
I--
Wub Buin
Diohwuhen
Conductors
Waler C1ooet
Laundrama18
Gre... Calch Bulns
I--
SIDk
Waler Softene..
Sump Pump 81: Ejectors
Waler Hoalers
sanUary Bubblers
Bar and Soda Wastes
Shower Baths
Urina1o
noar Dralu
Dental Cuspidors
Leundry Tubs
SerTice Sinks
Inspections ------.------.---.Outside J
~=::::~:::::::~~=::==:::::=.---_._..._........Inside
Valuation of the Work Herein Described
$&t2..o..~z:...-----....-----._--.._--_..._-_._...--..
$.
0
Fee Verified. Receipted and Recorded
Received PermU and Inspection Fees
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J -~."~¡Û$1
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Iii 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 .11 statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
It is luther agreed by th" undersigned that no other uses will ba made 01 the above connections except as hereinalter listed.