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Lol Ho. Block Ward Addition or Replai-
OUTSIDE WORK
Dale
NIW SEWEll WAIER STORMS ,... fEES RELAY S. "WER WATER SIORMS FEES
From M8ID to Cmb Septic Tank. From Main 10 Curb
!'%om Cm!> to BuIlcl!nll Electric Pumps From Curb to Buil"lng
Repair
INSIDE WORK
NO. NEW RIP. USED FEES NO. NEW R.'. olEO '..S NO. NEW REP. USED FEES
- - - -
B8tIt Tub I Ic-() Gubage DiopoeaIs I /..-c! C- Basins
Wasb BuiD .2 J..1rl! Dishwillhen Conductors
- - - - -
W- CICIO! ,;¿ ;r ,-<J Laundlamab I .ff() Gre... Cateb Buins
Sink / /..,ø Water SofIeners Sump Pump Ik Ejectors I / . --c)
WaIe~ Heate.. I I.w Sanitary Bubblers Bu and Soda Waslos
Bllcwu B8tIts I I. (-.0 UriDaIs
F1oœ Drains I l -v Dental Cuspidon
LallDdry Tubs Serviee SiDb
Inspec:tlons Valuation of the Work Herein Described Fee Verified. Receipted and Recordad Received Perrol! and Inspeclion Fees
J:ßJi7~-17i-7i¡:3':talde $--,;f£Q.Q.:..."!!..._.._....._----~.__....__._.. ----..-........--....Bewer Fees
.. .If. ..2 20.- ~J--InsIde ------La,-~-P1bg. Fees
--,,~~ - Final 0; $....---...-----------------------------....--------.. ._.._--U--~_ToIaI
$--------------------...------------------------.--- ----------------""'--Clïÿ-T;;;;'~;;;;-----."'---"-"----- Date í{..;tf . 7..$-
In the performance of this work the undersigned owner (or his authorized as.n!) 01 said ~>remi.es and his authorized Plumber hereby ogre. to be bounden by and
submit to all statutes, city ordinances, and rules and regulations pres.ribo" by Ihe Board of Public Works for the v.rnmon! of Piumbers.
It is futher agreed by the undersigned thai no othor uses will b. ",.de 01 Ih. above connections except a or listed.
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