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HomeMy WebLinkAbout0009427 P J ~ ) " - Due !lame of P1umII8. , WiSCOnS:;::r _hlf(!~r~ig~~4 I Addition or Replat Ward - NOW SEWEI WATER STORMS FE" FE" RELAY S. SEWER WATER STORMS FEES From Main to Curb Septic Tanks From Main to Curb ~m Curb 10 DuDding ,¡j~<!-t. / /, e..- /tp-d Electric Pumps From Curb to Building Repair I INSIDE WORK NO. NEW .... USED FlES NO. NEW R'P. USE. FE" NO. N'W REP. USE. FE'S - - - - Bath Tub Garbage D1s~ Cetch Bulns f---- Wuh Basin Dishwashers - Conducto.. - - - - Wu.. Clooet Laundrama.18 Gre... Cuch Bulns SIDIo: WIder Soften... Sump Pump 8< Ejecto.. Wa!8r Heat... Sanituy Bubble.. Bar and Soda Wastes Sbcw.. Baths Urinals Floor DraIDs Dental Cuspido.. Laundry Tubo Service Sinks I...pectlo... Valuation of the Work Herein Described Fee Verified. Receipted end Recorded Received Permit and Inspection Fees --"---------------h--h--.----------._---Oullide .:2Sô, ti-d ___h."g_h~_Sewer F- $__h_h_____---_____h_hh- -____..h_hhh__h_h_--- ----_.L~---~_Plbg. Fees --------------------_h_-_h-h_--_h_---------_h_-------Inside =z.t~=t:1~?;;.:===~~-~; $--- ---------------------------______h_h______-______h___-h_h- ---_h¥--__~Total _h_---__--- ---------é";iÿ-T;;;;;~;;;-----------_____-h____- $---------------_____-h---_--_--------------------- Date ?- ¿;;¿t:I- 76 In the performance of this work Ihe undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and submit 10 all statutes, city ordinences, and rules and regulations prescribed by Ihe Soard of Public Works for the government of Plumbers. It is fulher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter lisled. =~~~~~~;t:::.-:__:__:_:_--_:__:-:__:::_:_-~-_:-::: --_h__-FtL___---I~-~--