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PLUMBING PERMIT - O.hko.h, w;"'on'Z__I~:q__:;"~
¡ Acidjlio_,,_or_Re '-lat
Date
~ z4~ Name ~ J2,. ~
of- A-
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Owner _m__m:-_- 00 ð'-~=,"--'-- -- :£Lq. U '__nu__.m_n.....
l_L_oI_NO. I BIOCIC_____1 Ward
OUTSIDE WORK
NOW SOW" WA"R STORMS fEES fEES RELAY S. SEWER WATER STORMS lEES
F- MaIn to Curb Septic Tank. From Main to Curb
F>om Curb 10 BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
fEES
UP.
usm
...S
NO.
NEW
REP- I USEO
FEES
NO.
NEW
REP. I USED
Bath Tub
Gerbage Diapoaala
fl
I
Greue Catch Bubul
1.'/0
/-Oo!
~I
/c101
Catch Bubul
I~OD
&,Ò()
/.,00
" Oil
Wuh Buin
~
d.
/
.1
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Dental Cuspidors
Diahwaahers
Conductors
Water Cl_t
Laundramata
I
/.110
Water Softeners
Sink
Sump Pump 8< Ejectors
Saniiary Bubblers
Weier Heate..
Ber and Soda Wastes
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Show... BaIha
Urinals
Floor DraIDa
Leunclrr Tuba
Service Sinks nmnm_n_-_..Sawer F...
. . . ._~~7~'.M_--.'-
v,..... ~ ~ W.._--- #eLL"fl"",!"
'~~"'-- ----.-------.- - i;i7£;'/J¿{
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
~~~:~~¥!l:i~~~:~
In the performance of thi. work the undersigned owner (or his authorized agent) of .aid premises and hi. authorized Plumber hereby agree to be bounden by ...d
submit to all .tetutes. city ordinance.. and rules and regulations pre.crlbed 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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~unm Plumbing In,.-.'