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I Lot No. Block Ward Addilion or Replat
OUTSIDE WORK
Da!.
NIW SEwn WAlE. STORMS '""S ..IS .ILAY S. SEWS. WAlE. STORMS '""
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuUdlng Electric Pumps From Curb 10 Building
~u IdA (!j~ l,ôÓ Repair
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INSIDE WORK
NO.
NEW
NO.
'""S
NIW
.IP. I USED
'EES
NO.
NIW
.IP.
USED
u,.
USED
..IS
Bath Tub
Garbag. D1a~
Catch BuÙUI
Wub BulD
Dishwuhan
Conduclor.
Wa!er CION!
Laundram&ls
Gr...... Ca!ch Bu1ns
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SIJIk
Wa!er Soflen...
Sump Pump II< Ejeclo..
Wmr H.a!...
Sanitary Bubbler.
Bar and Soda Wasles
Shower Ba!hs
UriDals
Floor Dralu
Denial Cuspido..
Laundry Tubs
Seni... Sinks
Inspections Valuali~tf Ih. Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon Fees
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In the perfJmance of thi. work the unda..igned owner (or hi. authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to ell .tatutes. city ordinances. and rules and regulations pre.cribed by the Board of Public Workl for the government of Plumbe...
It is luther agreed by the undenlgned that no other UleS will be made 01 the above connection. except as hereinelter listed.
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