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HomeMy WebLinkAbout0009704-Plumbing (laterals) ~ ,) ) ø..... of Pluml>er PLUMBI~h' WI"...;. ..... N". 9704 " Name . Slreet. em. . . L2 ~. IV" /. Oof c--/. ... .... ,........................................ N:"':ber ,1"/e1..!..~j1i¿3.............~L-:...1. ......... ... .............':2L~....... _er <Z)..M... ....... . ........m..y. I Lot NO"'_""-'-~ J BIO: I Ward I Addilion or Replat Date OUTSIDE WORK NEW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES From M8In to Curb Seplic Tanks From Mein to Curb From Curb to BoUding ,¿j '. C!A' / '" C'~ ~ Eleclric Pumps From Curb to Building Repair INSIDE WORK NO. NEW REP, NO. NEW REP. I USED NEW FEES REP. USED FEES NO. USED FEES BathTub Garbage Dispooals Catch Buins I-------- Wub Buin Disbwuhers Conduclors Wat.. CloMt Laundramats Gre... Catch Buins Sink Water Soft.n.rs Sump Pump &: Ejeclors Water Heaters Sanitary Bubblers Bar and Soda Wules Show.. Baths Urinals noor ])rains Denial Cuspidors 1-,- Laundry Tubs ~~==~=::==:::::=::=::::::=::::::<>;,,:~: Service Sinks Valualion of Ihe Work Herein Described s...d~lì...~,....,.,..................................,.. . Fee Verified. Receipled and Recorded Received Per mil and ¡nspeclion Fees .....~,..~....Sawer Fees ,...j:m~...Plbg. Fees .........d..~..To al //~ -7. -;7 ¿ """-Œtil.L!!.:====~~"'~; ..................,...................................... City T,....,., . Date In the performance of this work the undersigned owner (or hi. euthorired agent) of said prem!... and hi. authorized Plumber hereby egree to be bounden by ."d .ubmit to ell statute.. city ordinances. and rule. and regulations prescribed by the Board of Public Work. for tho government of Plumbers. It Is 'uther agreed by the undersigned that no other use. will be made of the above connectio!,,' except a. hereinafter Ii.ted. "'H""" _.. ....¿;;;,m... ....... ..-..... -.... :;~~¡¡;;; ;i;~r¡;;Î"" ......m............" ==:~~~~j.i"""""""""""""""""-""""