HomeMy WebLinkAbout0009033-Plumbing (water heater)
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P~~~BING PERM'T,IShkOShl WiSCOnS~:eet - Permit - .N~~O33
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I Lot No. ~ I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEW" WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
r.om Curb to BuDding Electric Pumps From Curb to Building
Repair
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INSIDE WORK
NO.
NEW
NO.
FEES
NEW
REP. I USED
FE'S
NO.
REP.
USED
FEES
NEW
REP.
USED
BeIb Tub
Garbage Dlapoeala
Catch Buina
I------
Wuh Buin
Dlshwuhen
Conductors
Water Cl_t
LaundramatR
~c
Greue Catch Buins
Sink
Water Softeners
Sump Pump II< Ejectors
Water Heate..
1/
Bar and Soda Wastes
1/;;7
_G/
/
Sanitary Bubblers
Urinals
Shower Baths
1-
Floor Drillu
Dental Cuspido..
I---
Leunc!ry Tube
Inspections
-------------.----..-----.----.------.------_.---Outlide
"-----------------'---"-----'-----'-hn.-----------Inslde
Service Sinks
Valuation of the Work Herein Described
$... .._---_.~_._9._._.Q__'n_~n_<:l--___._----------
..
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
n_-------_n_-_n-----B8wer Fees
.¿n'---hOhO---n---Plbg. Fees
D~¡:-------~;5' £
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City T,."ur"
In the performance 01 this work the undersigned owner (or his authorized agent) of said premises and his authorized 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 lor the governmant 01 Plumbe...
It Is luthar agreed by the undersigned that no other uses will be made 01 the above connections except as hereinaftor listed.
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