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I Lot No. b I Ward I Addition or Replat
OUTSIDE WORK
Date
NOW sown WAUl STORMS filS '""S alLAY S. SIWla WAUl STORMS '""S
F- Ma!n 10 Cwb Septic Tanks From Main to Cwb
FJom Cwb to Building V-- """""- ~ Electric Pumps From Cwb to Building
Repair
INSIDE WORK
110.
NEW
"P.
NIW
alP. I USED
..IS
'"ES
NO.
NIW
"P.
USED
USID
FlES
NO.
Bath Tub
Gubage DlapoAis
Catch Bulns
Wuh Buin
Dlahwuhers
ConductOrl
Water Cl_1
Laundrama.ll
Gre... Catch Bulna
~L
SIIIk
Water Softeners
Sump Pump" Ejectorl
Water Heaters
Sanitary Bubblers
Urinala
Bu and Soda Wasles
Shower Baths
Floor DrÚ118
Laundry Tubs
Dental Cuspidors
Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the' performance of thi. work the undanigned ownar (or his authorlred agent) of said premises and his authorized Plumber hareby agree to be bounden by and
submit to all .tatutes. city ordinances. and rules and regulations prescribed by the Board of Public Work. for the government of Plumbers.
It Is futher agreed by the ulJ'lerslgned that no other us.. will be made of the above connection. except as hereinaltar list_.
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