HomeMy WebLinkAbout1977-Plumbing (water heater)
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I Lot Ho. I Block I Ward I Addüion or Replat
OUTSIDE WORK
Date
NIW SEwn WATER STORMS FEES FEES REtAY S. SEWER WATER STORMS FEES
FIOID M8ID to Curb Seplic Tanks From MaiD 10 Curb
From Curb to Building Eleclzic Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
FEES
REP. I USED
FEES
NO.
USED
HES
NO.
NEW
REP.
USED
_Tub
Garbage Dlspooala
Caleb Bum.
--
Wub Buin
Dlsbwuhen
Conduclors
WaI8R Clooet
Laundramala
Grease Catch Bum.
--
Sink
Water Softeners
Sump Pump & Ejeclors
I
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Bar and Soda Wules
Iv
Sanitary Bubblers
WaI8R Heaters
Shower Baths
Urinals
Floor Drains
Denial Cuspidors
Laundry Tubs
~:~::_------------_._--_._---____---Oulside
Sernce Sinks
Fee Verified. Receipled and Recorded
Valuation of Ihe Work Herein Described
$__;b._O!2---_~------------------------_._-------------
.
Received PermU and Inspecllon F-
---------- ------Sewer Fees
----./C<?Þ_-------Plbg. F..s
--.L,-{!Z)----....--Total
Date 1.-4 - ;l;l
-----------------....-.-----------------------------_-----Inside
--
--
---------..--FiDal OK
.
-----------------------'--'Öiÿ---¡,e.;;~;ë;-----------"-------------
In the performance of this work the undarsigned owner (or his authorired agont) of said premises and his authorized Plumber hereby agree to be bounden by end
submit 10 all statutes. city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed bYAthe undersigned that no other uses will be made of the above connections except as hereinafter listed.
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