HomeMy WebLinkAbout0000194-Plumbing (water heater)
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I_Block I Ward umu__u I Addition or Replat
Date
[ Lot No.
OUTSIDE WORK
NEW SEwn WATE. STORMS 'EES 'EES .ELAY S. SEWE. WA'E. STORMS FEES
From M8In to Curb Septic Tanks From Main to Curb
~ Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
u..
NO.
NEW
'EES
fEES
NO.
NEW
.E..
USED
.E.. I USED
USED
FlES
Bûh Tub
Garbage Diapooa]a
Dlshwuhers
Caleb BulJll
Wuh Bulu
ConductOri
WatN CloNt
Laundramats
Greua Catch BulJll
I-
Sink
Water Softeners
Sump Pump Ik Ejectors
LI
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IÜ\ð
Sanitary Bubblers
Bar and Soda Wutes
Water Haaten
Shower Batha
UriDa1e
Floor DreiD8
Dental Cuspidon
Laundry Tullo
~~:.._........_----------------____Outslde
Service SInks
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
----------------------------8owar Fees
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----------..-..-------------..--...----------..--__----Inside
Valuation of the Work Herein Described
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----------...---..--------.....-...--------------------..-----
$---.----------------------- -------------------------------------------
$----------------.-------------------------.-----------------.----------
City ,..,..."'
--------------------.-.-----------------
-..-----..-------------FiDIIl OK
In the performance of this work the undersigned owner (or his authorized agent) of .aid premises and his author ired Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Work. for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed.
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PlumbIng In__,
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