HomeMy WebLinkAbout0000788-Plumbing (repair water service)
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I Lol No. . I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NIW SEWEI WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
Fzom MaIn 10 ClUb Seplic Tanks From Main 10 Curb
nom ClUb 10 BDUellng Eleclric PumpS From ClUb 10 Bunding
Repair ~ j.t>-CJ
INSIDE WORK
NO.
NEW
..,.
USID
NO.
NEW
fEES
NEW
USED
fEES
RE'. I USED
"O.
R".
flES
Bath Tub
Garbage DiopoIaIa
Ca1ch Bulns
Wuh Buin
Dishwuhen
Conducloro
W- CI_t
LaundrlUl1ll.b
Greue Catch Buins
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BIDk
Waler Softenero
Sump Pump Be Ejecloro
Water Heaters
sanUary Bubblero
Bar end Soda Wasles
Shower Baths
Urinals
noor DraIDs
Denial Cuspidors
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Laundry Tubs
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Service Sinks
Veluatlon of Ihe Work Herein Described
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Fee Verified. Recelpled and Recorded
Received PermU and Inspecllon F-
,.......................Sewer F-
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City T,...u,.,
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Dale
In th'.! pe.fD~m.nce of this work the undersigned owner (or hi. authorized agent) of .aid premises and his author ired Plumber hereby agree to be bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Work. for the governmenl of Plumbers.
It is futh.r agreed by the undersigned that no other uses will b. made of the above connections except as hereinaft.r listed.
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