HomeMy WebLinkAbout0009484-Plumbing (sewer cap)
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P1umI>er
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I Lot No. b 1 Ward ~ I ~ Addilion or Replat
OUTSIDE WORK
Dtio
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NEW SEWD WATE. STORMS FEES FEES .E'AY S. SEWE. WATE. STORMS fEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb to BuDding Eleclric Pumps From Curb 10 Building
Repair
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INSIDE WORK
110.
NEW
u..
NEW
NO.
fEES
'E'. I USE.
fEES
NEW
.EP.
USE.
USED
RES I NO.
Bath Tub
Garbage DiIpDIaIs
Ca!cb Bulns
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Wub BulD
Diahwuhen
Conduclors
Wti.. Clooel
Laundramala
Greue Cticb BulDs
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SID1o:
Wtier Softeners
Sump Pump II< Ejeclors
Wa!8r Rotion
Sanilary Bubblers
Bar and Soda Wasles
Shower Ba!ha
UrlDals
noor Dra1D8
Denial Cuspidon
Laundry Tub<
IlUIpecI1ona
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SerYlce SlDb
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Received Permit and Inspeclion Fees
~#-~. -...----...-Sewer Fees
\!f.",-,P?.!J_.....Plbg. Fees
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Fee Verified. Receipled and Recorded
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his author ired Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the goyernment of Plumbers.
11 Is futher agreed by the undersigned that no other uses will be made of the abon connections except as hereinafter listed.
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