HomeMy WebLinkAbout0009735-Plumbing (laterals)
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l Lo.I No.
I Addition or Replat
I Block I Ward
Date
OUTSIDE WORK
NI'N SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
FRom Curb to BuDding Lf//e:r; /((riM) ~~ Electric Pumps From Curb to Building
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Repair
INSIDE WORK
NO. NEW REP. USED flES NO. NEW REP. USED fEES NO. NEW REP. USED fEES
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Bath Tub Garbage D~ Catch Bulns
Wuh BuiD Dishwuhers - Conductors
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Wet.. CI_t Laundramlds Grease Catch DOllins
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SIDk Water Softeners Sump Pump Be Ejectors
Water Heeters Sanitary Bubblers Bar and Soda Wutes
8hower Baths UriDa1s
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F1oor Drùna J ~ß) Dental Cuspidors ~ 1-
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Laundry Tubo Service SiDks
Inspeclions Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection F-
----..----..-------------------------_-----.._Oulside f4~G-Q-I--Qt>.--------------------------_..._--------- ----~~-----Sewer F....
----------------------..---.---------..-..----..-----Inside t~6Ö::::::::; Fee.
~=J1lgb~{Q=~~-~; $----------....-...-----..-..---..---..-..-------------------- -----------
$---------------..---------------------------..-----..---....----------- ----------------------"ë-'¡;ïT;;;~;;;;-"---"-----"---"------ Date ¡,/I-9\-- Zi.::>
In the plrformence of this work the undersigned owner (or his authorized agent) of said premises end his authorized Plumber hereby agree to be boundon by ..,d
submit to ell statutos, city ordinances, and rules and regulations prescribed by the Bond of Public Works for the government of Plumbers.
It Is futher agreed by tho undorslgned that no other uses will be made of tho obove connections except as hereinafter listed.
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------ Plumbing In.pocto'