HomeMy WebLinkAbout0009668-Plumbing (fixtures)
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I Lol No. I Block I Ward I Addilion or Replat
Date
OUTSIDE WORK
NEW SEWI. WATE. STORMS "'S FEES .ElAY S. SEWER WATE' STORMS "..
From MaIn to Curb Septic Tanks From Main to Curb
""'m Curb to BuDding Electric Pumps From Curb to Buüc!htg
Repair
INSIDE WORK
110.
NEW
"P.
FlES I NO.
NIW
'EP. I USE.
FEES
NEW
FEES
REP.
USE.
NO.
USED
BathTub
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¡Jrl.
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Catch Basins
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GlUbage Diapon1s
Wuh Basin
Diabwasben
Conductors
(
II. r(l
Greue Catch Basins
Laundramata
WatN CIOl8t
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/,e>V
B1Dlo:
Water Softeners
Sump Pump 8< Ejeclors
I
Water Heaters
Sanilary Bubblers
BIU and Soda Wastes
ShoWN Batb8
UriDale
noor DraIDa
/
1 . /XI
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Dental Cuspidors
Laundry TubtI
Service Sinks
ImpedioDS Valuation of the W~ereln Described Fee Verified. Receipted and Recorded Received Permil and ¡nspaellon Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premises 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.
It is futher agreed by the undersigned that no other uoes will be mede of the above connections ex,
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