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HomeMy WebLinkAbout0000938-Plumbing ~ -, ) N- ot PlumbeR LdL&d__- P Z BIZ IT;:;::: ..~..itd,l~~~:_~~ I Lot 11'0. I Block / I Ward I Addilion or Replal OUTSIDE WORK Dal. NEW SEwn WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES FROm MaIn 10 CURb Septic Tanks FROm Main 10 CuRb FRom CURb to BuDding Eleclric Pump" From CURb 10 Building RapaiR INSIDE WORK 110. NEW USED NO. NEW FEES NEW FEES REP. USED REP. I USED "O. REP. flES L -y -y I L Z ./ ,/ ./ V Sanilary Bubblers Urinals B.. and Soda Wasles v' "'-/-1- ;.../' ~C)Ò I ,oD .0(/ /,60 1,00 I/'oz, 1,0[) ¡ ,O[) BaIh Tub G..bag. DlspoRais Calch BuIDs Wuh BulD Dlshwuhen Conduclors GRe... Calch BulDs LaundRamaIR Wal.. CION! r- I.Ot:.. I Sump Pump Ik Eieolors .......-- BIDk WaieR Soften..s WateR H.aI... Bhow..BaIhR I 1/,00 Denial Cuspido.. ./ nOCR DRaIu Laundrr Tubs Service SIDks lD8pad1ons Valualion of Ihe Work HerelD Described Fee Verified, Receipled and Recorded Received PermU and Inspacllon Fees - ~~~~ :~====-= ---- - -- - -",,"C"-- Doä~~:= In ¡he ~rformanca of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to b' bounden by and submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the governmUl-..of Plumbers. It Is futher agreed by the undersigned that no other uses will b. made of the above connections except as herei ~~~==== n_.n_.m.--mmm---- ----------..m------- _m--"""'----------