HomeMy WebLinkAbout0000361-Plumbing
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Dale
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~¥/ I Lot No. I Block I Ward ____l Addition or Replat
OUTSIDE WORK
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of
Plumber
Naw SIWEII WATER STORMS lEES FIlS RELAY S. SEWER WATER STORMS filS
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDdInll Electric Pumpa From Curb to Building
Repair
INSIDE WORK
NO. Naw REP. USED HI. NO. NIW REP. USED FlES NO. NEW RIP. USID FIlS
./ ¡/ - - /, cJV - - -
/ Both Tub ~ L Garbage Diapooelo Catch Bulns
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.3 Wub Bum ./ 3lOC> f Diabwuhen ./ I, Of) Conducto..
1- - -
3 Water CI_t ./ 3,= / LaundrGD>ato ¡/ I, ÓÒ Greue Calcb Bulns
I-
L Sink ../ pOD Water Softene.. / Sump Pump III: Ejector. '/ /rO
1 Water Heate.. V "O Sanitary Bubble.. Bar and Soda Wute.
Show. BatbR UriDaIR
/ Floor Dratu l~uV Dental Cu.pidors 1.-
Launclrr Tubs Se1'Vlce Sinks
Inspectlono ~~Z;~".~::~::.:::=:: Fee Verified, Receipted and Recorded Received Permit and lnopactlon F...
7L=.;Z=::::::=::=::<>;:::: ............................Sewer F-
.1..C¡;...C:'Þ....PIbg, Fee.
$.........................................................-.......... ..... .(...t:f.!..PP......Total
=~~ffJ1.7:1==~~-;;; $........................................................................... ."""""""""""""Ci¡:¡Ÿ;;;;;';;;;"""""""""""'" Date ~~¥~7 L .
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submit to all statutes, city ordinances, and rul..s and regulations prescribed by th.. Board of Public Works for the gonrnment of Plumbers.
It Is futher agreed by the undersigned that no other u...s will be mad.. of the eboy.. connections except as h..r..inafter listed.
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