HomeMy WebLinkAbout1977-Plumbing (lateral)
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I Lot No. I Block I Ward I Addition or Rel'lat
DIIie
OUTSIDE WORK
NEW SEWEa WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
F- MaIn to Curb Septic Tank. FMm Main to Curb
~ Curb 10 BuDding .)./.f tV' / J....¡ 'IC!- ~ Electric Pumps From Curb to Building
7 Repair
INSIDE WORK
NO.
NEW
"P.
USED
HES
NO.
NEW
R". I USED
fEES
NO.
NEW
R...I USED
FE..
Bath Tub
1-
Garbage Diaponlo
Colch BulDs
Wub Buin
Dlshwub....
Conducto..
Water CI_t
Laundramala
Gre... Catch BulDs
r--
Sink
Water Soflene..
Sump Pump 8< Ejecto..
Wilier Heaters
Sanitary Bubblers
Bar and Soda Wute.
Shower Baths
Urinals
Floor Drotu
Laundry Tubs
Dental Cuspidors
1-
--~-
Service Sinks
Inspodlons Valuation of tbe Work Herein Described Fee Verified. Receipted and Recorded Received Pe~it and Inspection Fees
~~-~ :~~==~==-==. -'"'~"";--- ~=~~~ :~
In the performance of this work the undersigned owner (or hi. authorired agent) of .aid preml.e. and hi. authorired Plumber hereby agree to be bounden by end
submit to all .tatute., city ordinance., and rule. and regulation. pre.cribed by the Board of Public Work. for the government of Plumber..
It i. futher agreed by the undersigned that no other U$O' will be made of the above connection. exs,ept a. hereinafter Ii.ted.
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