HomeMy WebLinkAbout0000813-Plumbing (lateral)
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Dale
NEW SEwn WATER STORMS FEES FEES R"AY S. SEWER WATER STORMS FEES
From Main to Curb Septic Tanks From Main 10 Curb
From Curb 10 BuDding -~ ~ 400 Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
REP.
NO.
NEW
REP. I USED
NO.
NEW
USED
flES
REP.
FEES
USED
FOES
Bath Tub
Garbage DÙlpooaIo
Catch Basins
Wub Basin
DÙlhwashan
Conducloro
Waler CIONI
Laundramaltl
Gre... Calch Basins
~
SIDk
Waler Softenero
Sump Pump Be Ejeclors
Water Heale..
S&nÜary Bubblers
Bar and Soda Wasl..
Shower Baths
UriDala
Floor Dralu
Laundry Tubo
Denial Culpido..
Service Sinks
Inapac!ions
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Valualion of Ihe Work Herein Delcribed
$-----;¡_SX!~r;:>_e_---____-------------------------oo-
$
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Fee Verified. Receipled and Recorded
Received Permit and Inspeclion Fees
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Dale /~~7
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In th.~rmlnce of thi. work the unde..igned owner (or his authorized agent) of .aid preml.es and his authorired Plumber hereby agr.e to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Soard of Public Works for tha govarnment of Plumbe...
It II futher agreed by the undersigned that no other uses will be mada of the above connectio
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