HomeMy WebLinkAbout0008776-Plumbing (water heter)
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L~_~~ . I Block I Ward I Addition or Repla!
OUTSIDE WORK
Date
NEW SEWEll WAIER STORMS FEES FEES RELA' S. SEWE' WAIER STORMS "ES
bom Main 10 Curb Septic Tanks From Main 10 Curb
1'10... Curb to Building Electric Pump' From Curb ¡o Building
Repair
INSIDE WORK
NO. NEW REP. US'" FEES NO. NEW 'EP. USED ms NO. NEW REP. USED FEES
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Bath Tub Garbog.. Dilpooa1s Catch Basins
I-
Wuh BulD Diohwuh- - Conducloro
- - -
Watv CI0l81 Laundramatl Gre..... Catch BolDs
SIDle Water Sof enørs Sump Pump Ik Ejactors
Waler Heat... / Iv::? Sanitary Bubble.. Bar and Soda Wastes
Showu Baths Urinals
Fl.- ÐraIDs Denial Cuspido..
Leunc!zy Tuba Sarvi... Sinks
¡""pec!1ons Valuation of the Work HerelD Described Fee Verified. Receipted and Recorded Received Permi! and ¡""pectlo" Fees
---..--....---.--..Oulside 02--sóo.$' -.._........._....~_.._..~.Sewer Fees
$.._..._......._.._......__....._------~...._---- --_...~,L~_.Plbø. Fees
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----------------- $..-.--------..--------....-..-.........---- ------¿-.~.::'.--TO al
--------F1Dal OK $...-.-......--- ~~_._._------~--~----- ""-"""'---~"~"--CI¡Yÿ;;;;'ü;.;;"--"'--"'-'--'" Date /1-;20-7~
In the performance of this work the undersigned owner (or his authorired agent) of said premls.s and his authorired Plumber hereby ogree to be bounden by and
submit to all statutes, city ordinances, and rul.. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher ag~reed by the undersigned that no other uses will be mode of the above connections except as hereinafter lisled.
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