HomeMy WebLinkAbout0001766-Plumbing (bathroom)
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I Lot No. I Block I Ward I Addition or Replst
OUTSIDE WORK
Data
NEW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
USED
NEW
REP. I USED
FEES
FEES
1<0.
NEW
REP.
USED
fOES
NO.
REP.
í
I
I/~
Garbage DIa~
Catch BulDs
v
Bath Tub
~
1/
Wuh Bum
..,/
Dishwuhers
Conductors
Water Cl_t
.,/
Gre- Catch BulDs
Laundtamals
f--
Sink
Water Softener.
Sump Pump III: Ejectors
WÚ8r Heaters
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
UriDala
Floor Dralu
Laundry Tub8
Dental Cuspidors
Service Sma
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Valuation of the Work Herem Described
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Fee Verified. Receipted and Recorded
Receiyed Permit and Inspection Fe"
............................Sawer Fees
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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 ell 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 unde!signed that no other U58S will be made of the above connections except as hereinafter listed.
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