HomeMy WebLinkAbout0009538 P
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¡ Lot No. ~ vi I Ward . I Addition or Replat
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Dale
OUTSIDE WORK
NEW SEW" WATE' STORMS FEES FEES 'ELAY S. SEWE' WATE' STORMS FEES
From MaIn 10 ClUb Septic Tanks From Main 10 ClUb
From ClUb 10 Building Eleclric Pumps From ClUb 10 Buildlog
Repair
INSIDE WORK
NO.
NEW
REP.
NEW
FEES
fm
NO.
NEW
'EP.
USE.
USED
NO.
'EP. I USE.
filS
_Tub
Garbage DIs~
Calch BaslDs
1-
Wub Basin
Dishwashers
Conduclors
Walu CI_t
Laundramals
Greue Calch Basins
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SIDk
Waler Softenero
Sump Pump 8< Ejectors
Waler Healers
J
Sanitary Bubblers
Urinals
Bar and Soda Wastes
I ) t'rt'
Showu Baths
Floor Drains
Denial Cuspidors
LeUlldry Tubs
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Serrice Sinks
Fee Verified, Receipled and Recorded
Valuation of Ihe Work Herein Described
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Received Permit and InspectIon Fe"
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Dale
In the performence of this work the undersigned owner (or his authorized agent) of said premises end his avthorired Plumber hereby egree to be bounden by and
submit 10 all statvles, city ordinances, and rules and regulations prescribed by Ihe Board of Public Works for the government of Plumbers.
it is fvther agreed by the undersigned thffno other vses will be made of the above connections except as hereinafter lisled.
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