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Dale I Lol No. I Block I Ward_~~_n I Addition or Replat
OUTSIDE WORK
1692
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N§W SEWEll WATER STORMS 'EES FE" RELAY S. SEWER WATER STORMS FEES
F- MaID to Curb Septic Tanks From Main to Curb
Foom Curb So Build1n1l Electric Pumpa From Curb to Building
Repair
INSIDE WORK
110. NEW "P. USID FlES NO. NEW REP. USED FEES 0<0. NEW REP. USED FEES
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{ BaIb Tub / I r' Garbage Dia~ CaIc:h BulDa
I Wub Buin ,/ f ".... Diahwuhen Conductors
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/ WaI." Cl_t ./ /r" Laundr- Gre... Calch Buw
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SIDk Waler Softeners Sump Pump Ik Ejectors
Water Healers SRnÜary Bubhlers Bar and Soda Wastes
Show." Baths UriDals
noor DzaIDI Dental Cuspidors I--
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Laundzy Tubs Service Sinks
IDipections ú~~~~~~~ Fee Verified, Receipted and Recorded Received
--.-.-. -....------"-- .......- -.......- Outside .::::1,:
..........-...................-..-...-......-........Inslde
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---....--....-.......-.....-...-FiDal OK
/7/7/
In the performance of thi. work the undersigned owner (or his authorized agent) of said preml.e. and hi. authorized Plumber hereby agr~e t'; be bounden by end
submit to an Itatute., city ordinances, and rule. and regulation. prescribed by the Board of Public Works for the government of Plumbers.
- ed that no other U5O. will be made of the above connections except.. hereinafter listed.
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