HomeMy WebLinkAbout0001602-Plumbing (bathtub)
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Name
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NOW SEwn WAnR STORMS 'EES "ES RELAY S. SEWER WATER srORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RE'. USEO "ES NO. NEW RE'. USE. 'EES NO. NEW .E'. USE. 'EES
- - -
( Búh Tub ......... 1/ Garbage DispooaIs Caich Basins
-
Wub Buin Dilhwuhen Conducto..
[- - - - -
Wat.. CI_I Laundramall Greue Catch Bulns
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SIDk Water Softene.. Sump Pump Be Ejeclors
Water Heate.. Sanitary Bubble.. Bar and Soda Wutes
Shower Baths UrÌlL8hl
F1oor DrateR Denial Culpido.. I 1-
- -
Laundry Tubs Service SiDles
Iupecüons ::2:p2:~-=:~::_::::.:: Fee Veritied. Receipted and Recorded Received Permit and Inspection Fees
. --- - --- - -- --- _..- - __m- --. ..----- Outside m_----_m_m-Sewer Fees
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ut.,n the t,rformlnce of this work the undersigned owner (or hi, authorired agent) of said premise, and hi, author ired Plumber hereby agree to .
IU mlt to all statutes. city ordinances. and rules and regulation, prescribed by the Board of Public Work, for the government of Plumbers.
undersigned that no other use, will be made of the above connections except as hareinalter listed.
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