HomeMy WebLinkAbout0008872-Plumbing (water heater)
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Kame
ot
Plumber
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I Lot Ko. I Block I Ward I Addition or Repl...
OUTSIDE WORK
Date
NIW SEWEI WATEI STORMS FEES 'EES RElAY S. SEWER WATE. StORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Cub 10 Building Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RE'.
USED
RES
"O.
NEW
REP. I"".
'E"
NO.
"EW
REP.
USE.
"ES
BaIh Tub
Garbage DÙlpoea1s
Catch Baslml
Wuh Basin
Dilhwub....
Conduclors
-,-
Water CI_t
Lauzuh-
are..... Catch Basins
SIBIl:
Water Softeners
Sump Pump II< Ejeclors
Water Hwers
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Bar end Soda Wastes
Sanitary Bubblers
Show. Baths
UriDaÙI
Fla<>r Dr'"
Demel Cuspidors
LaUlldry Tube
Service SiDb
IDipectioDi -...-_-..-Oullicle
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Valuation of tbe Work Herein Described
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Date
Fee Verified. Receipled and Recorded
Received Permi! and IDipaclion Fees
"--"""""""<.q;-Sewer Fees
--.-.L-.--PIbg, Fees
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/..2-02 9- 7~
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City Tra...,a,
--
'Fine! OK
In the perfo,msnce of this work the undersigned owner (or his euthorized .gent) of s.id premises end hi. authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by Ihe 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 hereinafter listed.
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