HomeMy WebLinkAbout1977-Plumbing (fixtures)
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, I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEwn WATER STORMS fEES fEES RELAY ,. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
~m Curb to Building /' / ~ Electric Pumps From Curb 10 Building
Rapair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
REP. I USED
NO.
NEW
FEES
REP. I USED
FEES
USEO
FIlS
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Garbage Dupoeals
Catch BaslDs
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Bath Tub
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Conduclor.
Wuh Basin
Duhwashen
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Grease Catch Basins
Water CI_t
Laundramatl
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Sump Pump III: Ejeclors
SIJIk
Water Softeners
Sanilary Bubbler.
Bar and Soda Wasle.
Water Heaten
Shower Baths
UriDats
L
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Donlal Cuspidors
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Floor DraIDs
Leundry TubI
ServIce Sinks
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Valualion of I~ork Herein Described
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Fee Verified. Receipled and Recorded
Received Permit and In.pecllon Fees
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In' tho paHormfnce of thi, work the unde..igned owner (or hi, authorized agent) of nid prem!,.. and hi, authorired Plumber hereby agree tó be boudon by and
submit to all statut.., city ordinances, and rule, and regulation, pre,cribed by the Board of Public Work, lor the government 01 Plumbe...
It Is luther egreed by the undersigned that no other use, will be made 01 tho above connection, except a, hereinal(.'¡Ii,ted.
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