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Permit N<? 1779
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Dale
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I Lot Ho. I Block I Ward I Addition .or}!e¡>lat
OUTSIDE WORK
Permit
NEW SEWEll WAtER STORMS FEES FEES RILAY S. SEWER WATER STORMS FEES
From MelD to Curb v ~ ,/ - Septic Tanks From Main to Curb
IWm Curb 10 BuDding ..-- --- ¡.V. Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RI,-
NEW
FEES
",. I USED
FEES
NO.
USED
....
NO.
NEW
",.
USID
Bath Tub
Garbage Dilpoeala
Caleb BuiDs
f--
Wub BulD
Dilhwuhen
Condueto..
Wale CI_t
Laundramab
Greue Caleb BuiDs
f--
BInk
Wale~ Softene..
Sump Pump" Ejectors
WaI8~ Heaten
Sanitary Bubblers
Bar and Soda Wutes
Bhowe Batha
UriDaiI
nc- ~aIDa
Dental Cuspidors
Laundry Tubs
Inspections --.----------Oul8ide J
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Service SlDks
Valuation of the Wo~k HerelD Described
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
._-----~-~-------Sewer Fees
J _-----~~n--nPolbg. Fees
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City T,."""
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In the performance of this work the undersigned owner (or his euthorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all 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 that no other usas will be made of the above connections except as hereinafter listed.
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