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5..... r-v/ ~ . PLUMBING PERMIT
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OUTSIDE WORK
Dat.
ParmI! N? 822
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I Addi!ion or Replat
Naw SEW" WAIER STORMS FE" FEES RElAY S- SEWER WATER STORMS FEES
From MaIn 10 C...b Septic Tanks From Main 10 Curb
From C...b to BuDding EleclTic Pumps From C...b 10 Building
Repair
INSIDE WORK
NO.
NEW
USED
NO.
NEW
REP- I USED
REP-
FRES
Bùb Tub
Garbage D~
1-
Wub Basin
Dishwashen
Water CI_I
SIDk '¡&->7~
WÙ8r H.at.rs
LaundrlUlULlJ
¡trV
ILl
Water Softeners
Sanllary Bubblers
Shower BùhI
Urinals
F1oor Dralu
Dental Cuspidors
Laundry Tubs
Service Sinks
Fee Verified. Receipted and Recorded
Inspsc:tlons --..--_..-OuWde
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Valuation of the Work Herein Described
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FEES
NO-
Catch Basins
Conductors
Greue Catch Basins
Sump Pump" Ejectors
Bar and Soda Wastes
NEW
.EP.
USED
FEES
-,-,-
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Received Permi! and Inspection F...
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:::::¡:::~:::~::; Fees
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Date
In the performance of thi. work the undersigned owner (or hi. authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to an .tatute.. 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 hereinafter listed.
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