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Permll N'? 9339
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N~ber ....i225:......L...c..LV:.t:¥_çJÆ
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Lot No. Block -1- Ward
OUTSIDE WORK
I Addition or Replat
Date
NEW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER SIORMS FEES
Ihr /( //~. ~rJÒ
From MaIn to Curb . Î'.. Septic Tanks From Main to Curb
From Curb to BuDding Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
110. NEW REP. usm FlES NO. NEW REP. USED FEES tlO. NEW REP. USED FE"
- - - -
Batb Tub Garbage DlspooaJo Catch Basins
-
Wash Basin Dlsbwashers Conductors
- - -
Wat8>' CI_t Laundramats Grease Catch Basins
-
SlD!o: Water Bofteners Sump Pump 8< Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Shower Baths UriDats
Floor DralDl Dental Cuspidors
f-- - -
Laundry Tubo Service Sinks
Inspections Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permll and Inspecilon F-
_n....-.....---...................-.-........Ouilide $......1!~.C2....,..,QQ.._..._................... ..,:3.c......~.~~..Bewer F-
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..........................-.......-...........-........Inside .........L...............Plbg. Fees
-j/u-.-f5-r/I-;/iTf'_./-;M'SIL.._.._- $... .......................................-............................... ~}U
.... ........ ..."'ëí¡Y.Ÿ;;;;;;;;........""'...."'.....' D~.-...~;;:;Ib
..--..-....._.......n......_-FiDal OK $......................................................................-..-
. ," " .. .. .. .. . .. . -. . F ..
submit to all statules. city ordinances. and rules and regulations prescribed by the Board of Public Works for Ihe governmenl of Plumbers.
II Is futher agreed by the undersigned that no other uses will be made of the above connections except as her,inaf or listed.
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