HomeMy WebLinkAbout0008236 P
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OUTSIDE WORK
Addilion o~ Replai
Dale
NIW SEwn WATn STORMS fEES "'5 RELAY S. SEWER WATER STORMS fEES
From Main 10 ClUb Septic Tanks From Main 10 Curb
""'m Cub io Build!nø Electric Pumps From ClUb to Building
Rapair
INSIDE WORK
NO.
NEW
RiP.
USED
"'5
NO.
NEW
REP. I uSED
fEES
NO.
NEW
REP.
USED
fEES
BaIb Tub
Garbage DispooaJs
Caleh Bulua
Wuh Basm
-
Dishwashers
Conductor.
Wet... CI....t
Laundrama!a
Gr...... Caleb BasiDø
Sink
Wete~ Softeners
Sump Pump 8< Ejectors
Wata~ HeateD
1
r'-iJ
Bar and Soda Wast...
SlIow.... Balbo
Seniiary Bubblers
Urinals
F1ooor ])raIDs
LallDðry Tubi&
Dental Cuspidors
Serviee Sinks
IDlp8dlons Valualion of th.. Work Herein Described Fee Verified. Receipted and Reco~ded Received Permlf and Inspection F-
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-----..--------F1IIaI ore $---...--.-----..----...---..----.....----------- City Tm"'.,. Date </- / </- 7õ
In the performance of this work the undersigned owner (or his authorized agent) of said premis.s and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and reguletions prescribed by the Board of Public Works for the government of Plumbers.
It is futher .greed by the undersigned that no other uses will be made of the above connections except OS hereinafter listed.
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