HomeMy WebLinkAbout0001006-Plumbing (lateral)
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I Lot No. I Block -I Ward
OUTSIDE WORK
I Addition or Replat
Date
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NEW SEWD WATD STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic TaDks From Main to Curb
r.om Curb to BuUdlnll Electric Pumps From Curb to Building
Repeir
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INSIDE WORK
NO.
NEW
UP.
NEW
REP. I USED
FEES
FEES
"o.
NEW
REP.
USED
USED
FRES
NO.
BathTub
Garbage DispoRaIs
Catch Basins
Wash Basin
Dishwashers
Conductors
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Weier CIOMt
Laundrarnats
Gre... Celch Basins
r-
Sink
Weier Softeners
Sump Pump 8< Ejectors
Wøtør Heelers
Sanitary Bubblers
Bar end Soda Wastes
Shower Bøths
Urinals
noor Dr8inso
Lø_dry Tube
Dental Cuspidors
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SerYice Sinks
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Valuation of the Work Herein Described
$__1~7~___---_---------------------------_h_---
$-
0.
Fee Verified. Receipted and Recorded
Received Permit and Inspection Føøs
-.--------------------Sewer F...
-------/u?..9_-----PIbg. F..s
D~;/Î~-~--;r
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-Final OK
City Tro..uro,
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
e undersigned that no other uses will be mode of the above connections except as hereinafter listed.
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Plum"',
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