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HomeMy WebLinkAbout0000748-Plumbing (sewer repair) ) I'. I I I, ~ Hame of Plumber --~--_PžZ=CL&~ =:'i ..~...:;~~~~ I Lol No. I Block I Ward I Addition or Replal OUTSIDE WORK DII!8 NEW SEWn WATER STORMS fEES fEES RELAY S.SEWER WATER STORMS fEES From MaIn 10 Curb Septic Tanks From Main 10 Curb ""'m Curb 10 Bundlnll Electric Pumps From Curb 10 Building Repair ~ .........- /n"l~ INSIDE WORK NO. NEW REP. NO. NEW REP. I USED NO. NEW fEES REP. USED fEES USEe FlES Bath Tub Garbage DlllpoaaIa Calch Bu"," Wub Buin Dlllbwuben Conductors Waler CI_1 Laundroma.ls Greue Caleb Bulns I-- SIDk Waler Softeners Sump Pump II< Ejectors Water Heale.. sanUary Bubblers Bar and Soda Wules Shower Balha Urinals Floor DralJuo Denial Cuspidors Laundry Tubs ~~~~=::=:::~~~=:::::=:=::::::=:: Service Sinks Fee Verified. Receipted and Recorded Received Permit and Inspection Fees ...h..~~....mSewer F... m.....m....m..m..mPlhg. F..s D~:'~:~h '7 Valuation of tbe Work Herein Described $..di.ø~.....m....m........._.._..............- $. 0 =""'-¡'7.i7l:7-"~....nnal OK m.. .....m"'ÒiV"r;;;.;.;;;;;....................m... Ii. the' pérfórm/nce of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bóunden by end 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 the undersigned that no other uses will be made of the above connections except as herei iæu. .......m.m........ "'~"""{""""'g""""""""'"