HomeMy WebLinkAbout0001164-Plumbing (laterals)
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I LC>I No. I Block / I Ward I Addition or Replat
OUTSIDE WORK
1164 Y
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Daie
NEW SEWEI WAlE. STORMS 'EES FEES .ElAY S. SEWE. WATE. STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
FIrom Curb 10 BuDding /" ..,/" }Áoo Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
NO.
'EES
'EES
NO.
NEW
.EP.
USED
NEW
.EP. I USED
UP.
USED
FlES
Baib Tub
Garbage DÏllpooaIs
Catch Bulrul
Wash BasID
DÏllbwuhen
ConductOri
WaiN CI_I
LaundramaiR
Gre... Caich Buw
Slú
Wafer Softenerl
Sump Pump 8< Ejectors
Wafer Heaiers
Sanitary Bubblers
Bar and Soda Wutes
Shower BIIIhs
Uril1a1s
noor Dr8IDs
Dental Cuspidors
Laundry Tubs
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Service Sinks
Fee Verified, Receipled and Recorded
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Received Permit and Inspecllon F-
...._.~;;fj'-~"':".m--Sewer Fees
...... -, --------...--PIhg. Fees
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City T,....",
In the ""rformanee of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
nees, and rules and regulations preseribad by the Board of Public Works for the government of Plumbers.
:e ..únderslgned that no other uses will be made of the above connections except as hereinaftor listed.
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