HomeMy WebLinkAbout0001094-Plumbing (sewer repair)
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEwn WATER STORM' fEE, FEES RELAY ,. SEWER WATER STORM' FEES
From Main to Curb Septic Tanks From Main to Curb
From Curb 10 BuDding Electric Pumps From Curb to Building
Repair / ¡;ðO
INSIDE WORK
NO.
NEW
RIP.
U'ED
....
NO.
NEW
REP. I USE'
FEES
1<0.
NEW
REP. I u'o.
fEE,
Beth Tub
Garbage Dilponbo
Cùcb BulDs
Wub Bum
Dilbwuh....
Conduclo"
Water CI_t
LeundrllDlÙ8
Gre... Catch BulDs
~
SIDk
Water Softene..
Sump Pump Be Ejeolo..
Water Heate..
Shower Baths
Saniiary Bubblers
Urmals
Bar and Soda WHIGS
nocr DraIDa
Dental Cuspido..
Laundry Tubs
Seni.. SUlks
Valuation of the/Nork Herein Described
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In Ihe performlnce of Ihis work Ihe undersigned ownlr (or his lulhorbed agenl) of said premises and his authorized Plumber hereby agree 10 be bounden by ond
submil 10 all sla.lules, city ordinances, and rules and regulalions prescribed by the Board of Public Works for the government of Plumbers.
II I, luther agreed by Ihe,ynderslgned thai no other use, will be made of Ihe above connections except as herein.it.~7 listed.
Inspod1ona .--------Outside
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Fee Verified. Receipled and Recorded
Received Permit and In,poetion Fe..
--------Ln~-----Sewer F...
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