HomeMy WebLinkAbout0000908-Plumbing (kitchen sink)
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I Lot No. . I Block I Ward .~ Addition or Replat
. OUTSIDE WORK
Date
NEW SEwn WATER STORMS lEES fEES RELAY S. SEWER WATER STORMS fEES
From M8ID to Curb Seplic Tanks From Main to Curb
hom Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
lID.
NEW
"P.
NO.
NEW
FEES
NEW
lEES
REP.
USED
REP. I USED
NO.
USED
lEES
Bath Tub
Garbage Dlspooalo
Catch Basins
Wuh Basin
Dlshwashen
Conductors
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W- Clooat
I
LaundramaIJ
Gre... Catch Basins
I-
1-1
/'
Water Softeners
Sump Pump" Ejectors
/'00
SIDk
W- Heate..
Sanitary Bubblers
Bar and Soda Wastes
Shower Batha
Urine18
Floor DraIDI
Laundry Tuba
Dental Cuspidors
Service Sinks
Iupaclions ..._n...Outlide
~==::::::::::===::==::::=::::::::=._........Inside
Valualion of the Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fe..
...........-._.._..nn.....Sewer Fees
....:ð..Ç?Q... h.._.PIbg. Fees
..%..,.QJ2nnn.....Total
Date /,;2/7/ '7/'
....------.----------------"----------------.---
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----...------------.----Fina1 OK
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In the performance of this work the undersigned owner (or his euthorired agent) of said premises and his author ired Plumber hereby agree Me bounden by ond
submll to all sta.tutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II Is futher agreed Jly the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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