HomeMy WebLinkAbout0000977-Plumbing (interior)
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I Lot No. . I Block \ ward~_J Addilion or Repla!
OUTSIDE WORK
Data
Naw slwn WATIR STORMS FIES FEES RElAY S, SEWER WATER STORMS FIlS
From MaIn 10 C...b Seplic Tanks From Main 10 Curb
~ C...b 10 BuDding Eleclric Pumps From C...b 10 Building
Repair
INSIDE WORK
110.
NEW
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USID
FIlS I NO.
NEW
.EP. I USED
FEES
NEW
.EP.
FEES
USED
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Bath Tub
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Catch Buins
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Gubage DIoponIo
Wub Buin
Diohwuhen
Conducto..
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Graue Catch Buins
Laund..maù
Wat.. Cl_t
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Sink
Watn Sotle...rs
Sump Pump 8< Ejecta..
L
Saniluy Bubble..
Bu and Soda Wules
Wata. Haaten
Show.. Baths
U.iDaIs
noo. DoaiDa
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Denial Cuspidors
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LaUD"'" Tuba
IMpactions
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Se.vIce Sinks
Valualion of the Wo.k He.ein Descoibed
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Fee Verified. Receipled and Recorded
Received Pe.mit and Inspecllon Foes
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Dale
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in tho' psrfórma~ce of this work the undersigned owner (or his euthorized 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 tile undersigned that no other uses will be made of the above connections exøÞt ~ M'f'einaftor listed.
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Pô,mbe,