HomeMy WebLinkAbout0009572-Plumbing (water heater)
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I Lol No. I Block I Ward I Addition or Re >lat
OUTSIDE WORK
Due
NOW SEWEI WAnR STORMS fEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
FJom Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RE'.
NO.
NEW
REP. I USED
fEES
NEW
fEES
REP. I USED
1<0.
USED
fRES
BUb Tub
Garbage Disponla
CUcb Basw
Wuh Basin
Dishwashers
Conducto..
WUN CIONt
Laundzamll!a
Greue Cucb Basins
Sink
Wuer Softene..
Sump Pump 8< Ejeclo..
WÛ8r Heue..
r/
WJM
Sanitary Bubble..
Bar and Soda Wastes
ShoWN BalbI
UriDa1s
Floor Drains
Denial Cuspido"
Laundry Tubs
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Serrice SiDka
Valuation of the Work HereiD Described
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Fee Verified. Receipled and Recorded
Received Permi! and Inspeclion Fees
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Dale q-;;¿Ç 7¿
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City T,."".,
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ond
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
't Is futher agreed by the undarsigned that no other uses will be made of the above connections except as hereinafter listed.
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