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~ ¡! ( /J /l pi PLUMBING PERMIT - ash
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Ward
OUTSIDE WORK
Permit N'.? 9 72
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¡ Addition or Replat
Date
.
NEW SEWn WA1ER STORMS FEEs fEES RELAY S. SEWER WA1ER STORMs FEES
F...." MelD to C\I1'b Septic Tanks Foam Main to Curb
From C\I1'b SO BuDding Electric Pumps From C\I1'b to Building
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
FEES
NEW
'..S
REP.
US.,
"P. I US.,
NO.
us..
...s
Bath Tub
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I
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L
L
Sanitary Bubblers
Urinals
Bar and Soda Wastes
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Garbage DiIpoIals
Catch Basins
Wuh Basin
Diohwashers
Conductors
Grease Catch Basins
Laundramats
Water Cl_t
[-1/ ere
Sink
Water Softeners
Sump Pump" Ejectors
I
Water Heate..
Shower Baths
Floor DraIDa
Laundry Tubs
I
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Dentat Cuspidors
Service Sinks
Iupections Valuetion of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspecllon Fe..
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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.
II Is futher egreed by the undersigned thet no other usos will be made of the above connections except ay1Í~or listed.
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