HomeMy WebLinkAbout0009418-Plumbing (laterals)
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l Lot No,
r= I Ward
I Addition or Replat
Date
OUTSIDE WORK
Naw SEW" WAlE' STORMS fEES fEES 'ELAY S. SEWE' WArE' srO.MS fEES
From MaiD to Curb Septic Tanks From Main to Curb
Fzom Curb to Bu11d1nll l~[ rF./ /"e- I d. trl' Electric Pumps From Curb to Building
Rapair
INSIDE WORK
110.
NEW
..,.
NO.
'E,. I USEO I fEES
fEES
"O.
NEW
.E,.
USE.
US"
fEES
NEW
Bath Tub
Garbage Dillposals
Catch Bulm
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Wuh Buin
Dlshwuhen
Conduetora
Water Cl_t
Laundramail
Greue Catch Bulm
Sink
Water Soltenera
Sump Pump 8< Ejectora
Water Heate..
Sanitary Bubblera
Bar and Soda Wutes
Shower Batha
Urinals
FlOO1' Dralu
Dental Cuspido..
I----
Laundry Tullo
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Service Sinks
Fee Verified. Receipted and Recorded
Valuation of the Work Herein Described
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$-
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Received Permit and Inspection F...
m--~:--~m--Sewer Fees
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--=_2, T£- '1.\Il-.-_-EiDaJ OK
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Date
In the performance of 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 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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