HomeMy WebLinkAbout0001771-Plumbing (water lateral)
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I Lot Ro. I_Block ¡ Ward I Addition or Replat
Date
OUTSIDE WORK
NIW SEwn WAtER STORMS FEES 'EES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main 10 Curb
""'m Curb 10 BuDding Eleclric Pumps From Curb 10 Building ,/' I~
Repair
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INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USEO FEES NO. NEW REP. USEO 'EES
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Bath Tub Garbage Disponla Cetch Buins
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Wuh Buin Disbwuhers - Conductors
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Water CI...t Laundramata Grease Catch Basins
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SIDk Water Softeners Sump Pump" Ejectors
Water Heate.. Sanitary Bubblers Bar and Soda Wules
Shower BathR Urinala ~
Floor Dralu Denial Cuspido..
Laundry Tubo Service Sinks
~:~::_---_._----_....._--------_---..Oulside J Valuation of the Work Herein Described Fee Verified. Recelpled and Recorded Received Permit and Inspecllon Fees
$__2¿202,._//l--------__------------------.-...-------- ----------------------------Sewer F...
------------------------..-----------.----------------Inside t~¿j;;
$--------------------------------.-----------------------------------------
-------------------------------------------- ------------------'------c;¡;¡-Ÿ;';;;;;;;--------------------------
------------------------Final OK $---------------------------------------------------------------------
In the performance of this work the undersigned owner (or hi. authorized agent) of said premi.es 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 the government of Plumbers.
lIerslgned that no other uses will be made of the above connections except IS hereinafter listed.
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