HomeMy WebLinkAbout0009019-Plumbing (laterals)
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Dale I Lo.I No. I Block I Ward I Addüion or Replat
OUTSIDE WORK
Naw
SEwn
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Repair
$. SEWER
WATER
STORMS
RElAY
fEES
FEES
Septic Tanks
From Main to Curb
From Main to Curb
F>om Curb 10 BuDding I H II rL.t.
Eleclrlc Pumps
From Curb to Building
INSIDE WORK
110.
NEW
FlES
NEW
REP. I USED
NEW
fEES
REP.
USED
fEES
1<0.
UP.
USED
NO.
Bath Tub
Garbage Dlopooals
Catch Basins
Wasb Basin
Dlohwashers
Conductors
WatN Cl_t
Laundram&1s
Grease Catch Bulns
SIDk
Water Softeners
Sump Pump" Ejectors
Waler H.at...
Sanüary Bubblers
Bar and Soda Walles
Shower Baths
UrinalE
noor DreIDs
Denial Cuspido..
Laundry Tube
Xllllpedions ..----..--..._--------0u1lide
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Service Sinks
Fee Verified. Receipted and Recorded
Valuallon of Ihe Work Herein Described
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Received Permü and Inspection Fe..
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:__::::~~V::; Fees
Date â -~ . 7 b
.
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In the performance of Ihi. work the under.igned owner (or hi, authorizad agent) of ,aid premise. and hi. authorized Plumber hereby agreo to bo boundan by and
submit to all "atut.., city ordinances, and rule. and regulalion. pre.cribed by the Board of Public Work. for the government of PI umbo...
It I. futhor agreed by Iho unde..igned that no othor u&e. will be made of tho above connoction. except.. horeinaftor Ii.ted.
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