HomeMy WebLinkAbout1976-Plumbing (water heater)
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I Lot No. ~ -~--- I Block I Ward -- ~ I Addilion or Replat
Dale
OUTSIDE WORK
NIW SIWEI WAIER STORMS lEES FEES RElAY S. SEWER WAIER STORMS lEES
From MaIn to Curb Saplic Tanks From Main 10 Curb
FMm Curb 10 Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
NO.
NEW
REP. I USEO
fEES
FEES
1<0.
NEW
REP.
USED
REP.
USED
RES
Bath Tub
Garbage DIs~
Catch Basins
Wuh Basin
Dishwashers
Conduclors
W- Cl_l
Laundramab
Gre... Caleb Basins
+--
Sink
Water Softene..
Sump Pump 8< Ejectors
Wa!er Heale..
/
)rd
Sanilary Bubble..
Bar and Soda Wasles
Shower Ba!Iu
Urinals
F1oor DraIDs
Laundry Tube
Denial Cuspido..
Serrice Sinks
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Valuation of lha Work Herein Described
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Fee Verified. Receipled and Recorded
Received Permi1 and Inspeciion Fees
~-------..------...._-..----Sewer Fees
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eÇ. J. 7Þ
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Dale
In the performence of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ond
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 except as hereinafter listed.
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