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¡ Lot No. I Block I Ward I Addition or Replat
Date
OUTSIDE WORK
Naw SEwn WA'D StORMS FEES FIlS RELAY S. SIWIR WAtER StORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 Building Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
....
NIW
REP. I USED
,"".
FEES
NO.
NIW
RI..
USID
USID
fll,
NO.
Bath Tub
Garbage DiIpoA1s
Catch Baslrul
Wub Basin
Dishwashen
Conduclors
Water CI_I
Laundrørn&b
Greue Catch Basins
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Sbsk
Water Softeners
Sump Pump 8< Ejeclors
LI
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Sanitary Bubblers
Bar and Soda Wasles
v
Water Heate..
Shower Baths
Urlnll1s
noor »raIDs
Denial Cuspido..
Laundry Tubs
Senice Sluka
Impactions Valuation of Ihe Work Herein Described Fee Verüied. Receipled and Recorded Received Permit and Inspøcl!on Fe..
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In the performanca of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby ag;;;to be bounden by and
submit to all statutas, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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