HomeMy WebLinkAbout0008218-Plumbing (water heater)
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Plumber
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I Lot Ko. I Block. I Ward I Add;;!on or Replal:
OUTSIDE WORK
Dido
NIW SEwn WATER Sf aRMS 'E.S 'EES RElAY S. SEWER WArER Sf aRMS 'EES
r- MaIn to Cvb Seplic Tanks From Main 10 Curb
r- Cvb to Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NIW
RIP.
USED
FlES
NO.
NEW
R". I u...
FEES
NO.
NEW
REP.
USE.
'EES
-
Baib Tub
Wuh Bum
GIU'bag" DiIposab¡
C- Blllins
I-
Dishwlllh,,"
Conduclors
-,-
WlliuCI-
81a1o:
LaUlllkaJllllb
Grease Catch Blllins
Wilier Softeners
Sump Pump 81: Ejeciors
Water Heate..
l
J1j.ó
Bar and Soda Wasl..
Sanitary Bubblers
8100..,", Baths
Urinals
Floor Drillaa
Denial Cuspidors
Laundry Tubs
I""pectio"" -------OuIside
~====~=~-=___-Inslcle
Senic:e Sinks
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Fee Verified. Receipled and Recorded
Received Permit and I""peelion Fees
--~------_---Sewer Fees
__~4_éQ--PIbg. Fees
$-...-------....-----------------------------.- I I ~~ i2æ Total
$-------------------------...--------..--- ----------"'-----------cliVim,ü,ë;------"'---"'------- D~-- Þ h/? 3-'
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In the performlnce of this work the undersigned owner (or hi. authorized ag"nt) of ..;d premi."s and his authorized Plumber hereby Igree to be bounden by "'"'
submit to all statutes, city ordinances, and rulos and regulations prescribed by tha Board of Public Works for the government of Plumbers.
It Is futher Igreed by the undersigned thlt no other uses will be made of the abovo <onn~~t~~~~-----_..._-
Plumb"
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Plumbl.g 1.._,