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I Lot No. . --. . I.Block I Ward -.--..1 Addition or Replat
Data
OUTSIDE WORK
Haw saw.. WA"R STORMS fEES FEES RElAY S. SEWER WATER STORMS fEES
From M8In to Curb Seplic Tanks From Main to Curb
From Curb to Building Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
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Bath Tub f------ Garbage DÎlpon]o Catch Basins
Wuh Basin DÎlhwashers - - - Conduclo"
Water Clooet Laundramats /' Grease Catch Baslna
SiDII: Water Softene.. /IK I +, Sump Pump 8< Ejeclors -
Water Heate.. Sanitary Bubblers Bar and Soda Wastes
Shower Baths UriDala-
FIoca Dram. Dental Cuspido..
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Laundry Tullo Service Sinks
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In the performance of this work Ihe undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be mede of the above connections
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