HomeMy WebLinkAbout0009437-Plumbing (deduct water meter)
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
N~ 9437
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Permit
Dale
NEW SIWEt WATER STORMS FIlS filS RILAY S. SEWER WATER STORMS filS
From MaID to Curb Seplic Tanks From Main to Curb
From Curb to BoUding Electric Pumps From Curb to BuUding
Repair
It £ if-;; &m~. I J. o--z/
INSIDE WORK
NO. NEW u,. USED ..IS NO. NIW RI,. USED FEES NO. NIW RI,. USED ""S
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BRtb Tub G81'bage DlspoRalo Calch Butos
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Wub Buln Dlshwuhers Conduc!o..
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Waler CI088t LaundrlUDllols Greue Catch Butos
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SIDIo: Waler Softene.. Sump Pump" Ejecto..
Waler Heale.. Sanitary Bubble.. B81' and Soda Wastes
Shower BaIhI Urinels
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noor Dretos Dental Cuspido.. f--- ¡-.....
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Laundry Tubs Service Sinks
Inspeclions Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe..
--....-.......-..............-....................Oulside $..../.Q.Q..!...~....... .................................... ............................Sewer Fees
.................................._.....................Inside ..j:...~.......Plbg. Fees
""..'-Pl¡ziTl==~~~;' $... ........................................................................ ......./,....e>::P:......Total
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$..........................................................................- Date '7ciL/ /£>
In the performance of this work the undersigned owner (or his authorIzed agent) of said premises and his authorired 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 01 Plumbers.
I! Is luther agreed by the undersigned that no other uses will b. made 01 the above connections except as hereinalter listed.
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