HomeMy WebLinkAbout0000961-Plumbing (water heater)
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I Lot No. I~ I Ward ¡Addilion or Raplat
OUTSIDE WORK
Date
Naw SEW" WAUR STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
Naw
UP.
FlES
NEW
REP. I USED
"0.
NEW
FEES
REP.
USED
FEES
USED
NO.
BaIb Tub
Garbage Dlopoll8!o
Calch BolDs
Wuh BoiD
Dishwohars
Conduclors
Water CI_I
Laundrarna!s
Grease Catch Boins
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SIDk
Water Sofleners
Sump Pump 8< Ejeclors
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1/
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Sanilary Bubblers
Bar and Soda Wasles
Water Heaters
Shower Baths
Urinals
noor Drains
Denial Cuspidors
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Laundry Tubo
Inspac:llons ----OulBide
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Service SiDks
Fee Verified, Receipled and Recorded
Received Permit and Inspaellon F...
-----.----------------------Sewer F...
---_..It..Q9-------plbg. F..s
----_.l~-(JJ?_...._.-_Tolal
Dale /:2p~ 7
-----------------------..---------------------------_-----Inside
Valuation of Ihe Work HereiD Described
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In the performance 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 t"~ undersigned that no other uses will be mede of the ebove connections except as heroinefter listed.
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