HomeMy WebLinkAbout0008822-Plumbing (laterals)
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I Lot No. I BIO:k I Ward ___I_Addiiion or Repl&!
Date
OUTSIDE WORK
NEW SEWEa WATIA STORMS FEES IEOS "'AY S. SEw', WAUR STORMS fEES
From Mala to Curb /-J- " (?t. / 'j C ( Septic Tanks From Main to Curb
From Curb 10 Building t.l' 4 -' / '. /1 I ]lð--t! Eleclric Pumps From Curb 10 Building
ReplÚr
INSIDE WORK
NO. NEW UP. USED ..", NO. NEW R'P. "'E' I FEES NO. NEW REP. USE. FEES
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Balla Tub Gubage Diapooalo 1- Catch Basins
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WIIIh Basill Dish.....hen 1- Conduclors
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Water Clooet Laundramato Gre..... Catch BuIDs
Sbo!c Water Softeners Sump Pump 8< Ejeclors
Water Hwe.. Sanitary Bubblers Bar end Soda Wasles
Shower Bathe Urinals
Floor Dr" Denial Cuspidors
Laundry Tubs Service SInD
IDlpec1iolUl Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and IDlpeclion F...
----..--.--.---.-.-Oufside $----3d..c2.:..~___------------------.._----- "jð--c)
-------~=.,--------Sawer Fees
----.--.--------.---InIide ~~=:=:;:=~~~:; Fee.
-----7~711PC---~ 0; $------------------.--------------------
$--------------------------- ---------------------"Ciiÿ-Ÿ;;-..~;ë;-""-----------"-- Date /.c2 7S-
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In Ihe performance of Ihis work Iha undersigned owner (or hi. aulhori,ed age"l) of said preml..s and hi. aulhod,ed Plumber hereby agree to be boundan by and
.ubmlt to all slelutes, city ordinances. and ruleo and regulatlens pre,crlbad by the Soard of Public Works for the governmenl of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made 0'1 the above connections except as herol".ftar listed.
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