HomeMy WebLinkAbout1976-Plumbing (lateral)
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j Addition or Replat
I Lot No.
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Dale
OUTSIDE WORK
NEW SEwn WATER STORMS FEES 'EES RELAY S. SEWER WATER STORMS FE"
From MaIn to Curb 111{"y ;, DO Septic Tanks From Main to Curb
nom Curb 10 Building . Eleclric Pumpa From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
USED
NO.
NEW
RIP. I USED
FEES
NIW
FE"
REP.
USED
NO.
FE"
BaIb Tub
Garbage DioponIs
Calch Bulns
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Wuh Buin
Dishwuhers
Conductors
Waler CIONt
Laundramals
Grease Calch Bulns
I--
Sink
Waler Softeners
Sump Pump 8< Ejectors
Waler Heale..
Sanitary Bubblers
Bar and Soda W...les
Shower Balbo
UriDale
1-
Floor DraIDa
Laundry Tube
Dental Cuspido"
Service Sinks
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Valuation of Ihe Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permit and Inspecllon Feeo
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...f..L".Ò.ù.....-Total
Dale ./ /¿ffA b
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In the performance of this work the und~rsigned owner (or his authorized ag~nt) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to ell 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 made of the above connections except as hereinafter listed.
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