HomeMy WebLinkAbout1978-Plumbing (water heater)
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I Lot No. ~ I Block I Ward ----_J Addition or Replat
1148 r¿(
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Date
OUTSIDE WORK
NEW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USED FEES "O. "EW REP. USED '..S
- - -
Bail> Tub Garbage DI8~ Calch BaslDs
- -
Wasb Basin Dl8hwashers - Conduclorl
- - - -
WaiN CI_I Laundrama.lll Gre... Catch BasiDII
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DIDIo: Water Softeners Sump Pump II: Ejeclors
+- Water Heaters ........ I/..o>c Sanilary Bubhlers Bar and Soda Wasles
Sho- Baths Urina18
ncor Dr8lu Denial Cuspidors
Laundry Tubs Service Sinks
Inspecllons Valuanon of Ih ork Herein Described Fee Verified, Receipled and Recorded Received Permü and Inspecllon Fees
--............-..-..........-....................Oullide $~() ~.............................._.................... ~...........................Sewer Fees
......-..................--.....-...........-........Inside .ononfL~......Plbg. Fees
$..........................................._................~............- D~~:--:;JVÞr
-..--.-..-.-....--.-.....-.....-.......-...-.- .....~~. .""'~.........ëîiÿ.Tm.~;.;""".......'.."'....'"
-----.---.......-...-..--Eina1 OK $..-..............-..-..........-.............._on.-............-..-
In the performlnce of this work the undlrsigned owner (or his luthorired 1gent) of slid premises Ind his luthorized Plumber hereby Igree to be bounden by end
submit to III stltutes, city °'Wnlnces, Ind rules Ind regulltions prescribed by the Board of Public Works for the government of Plumbers.
nderslgned thlt no other uses will be made of the Ibove connections except as hereinllter listed.
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