HomeMy WebLinkAbout0008942 P
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I Lot No. mll1!~__u_1 Ward- - mumm- I Addition or Replat
Dato
OUTSIDE WORK
NEW SEWEll WATER STORMS FEES ms RElAY S. SOW'R WATEe STORMS FEES
From Mali> 10 Curb /f//e;¡:. I'C'A? ¥,O"Q Septic Tanks From Main to Curb
FJom Curb 10 Bu1idIDø Eleclric Pumps From Curb 10 Building
Repm
INSIDE WORK
NO. NEW REP. USED RSS NO. NEW R'P. u". "" NO. NEW REP. USE. RES
- - - -
Bath Tub aubage Dlaponlo Caleb B..úu;
Wub Bum Dishwuh... Conductors
f---- - -
Wat- Clooet Launàrawatll Gre.... Calch Bums
SIzsk Water Softeners Sump Pump 8< Ejectors
Wate~ Hoale.. Sanitary Bubblers Du and Soda Waste.
Show- IIatha UMals
F1coor DrIllDl Denial CuspidoR
Laundry Tubo Sernce Sinks
Inspactions Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
-----------.---Outside $J:f.jff._~~_f_.._ÇJJ:L .----.-----..- ....-- ..__.,;í!.!_Q_íL_.._Sewe~ Fees
---..-.-..--..-----..----.Inside --Iï,.:;--':?JL_"'plbg. Fee.
II;/J-¡;jZ:--- F~ 0; $-....--.. ---..-..-""""'--------"--"--- ------ ..~--~-Q_L..TO al
$----..-----------..------...------..- ----"---'--'-""---ëTtŸ'ÿ;';;.~;;;-""'---""'--"--- Date / /¡d/?¿
In the performance of this work the undersigned owner (or hi. euthorired agent) of .oid premises and his authorired 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 government of Plun,bers.
It is futher agreed by the undersigned that no other uses will be mede of the .bove <onneotions except as hereinafter listed.
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