HomeMy WebLinkAbout0001065-Plumbing (fixtures)
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I Lot No. I Block I Ward I Addition or Repl81
OUTSIDE WORK
7
Date
NEW SEwn WATER srORMS FEES FE" RELAY S. SEWER WArER srORMS FEES
From Main to Curb Septic Tanks Fmm Main to Curb
FNm Curb io BuDding Electric Pumps From Curb to Building
Repm
INSIDE WORK
110.
NEW
REP.
NEW
FEES
REP. I USE.
FEES
NO.
NEW
REP.
USE.
US"
FlES
NO.
L
L
(
./'
Gub8!l8 Dispooals
Catch BulDs
It?OD
Bath Tub
v-
Dishwasbers
Conductors
Wash Basin
VclQ
!rOO
fr(X)
/rOO
Bu and Soda Wules
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Grease Catch BuIDs
Laundnmats
WatN Cl_t
f--
f
./
Wate~ Softeners
Sump Pump 8< Ejeclors
SIDk
(
Water Heaten
./
sanUuy Bubblers
ShoWN Baths
Urinale
F1ocno ~e1118
Laundry TubI
Dental Cuspidon
I~-
Service Sinks
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Fee Verified. Receipled and Recorded
Received Permit and ¡nspecllon Fees
----------------------_----8ower F...
--~.~.---.Plbg. Fees
-------S:;_OO_.-- Total
Date ~~/~??
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--------tÇL------------------Finai OK
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----.-- ----------cliY-r,..,;,.;----------'-'-----'-------
In the performance of this work the undersigned owner (or his authorired egent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for...1.he government of Plumbers.
It Is futher agreed by the undersigned that no other uses will ba made of the above connect'
hdreinaf er listed.
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