HomeMy WebLinkAbout0009239-Plumbing (sewer & water)
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l I L<>I No. 01 Block I Ward, I Addition or Replat
OUTSIDE WORK
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Date
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NOW SIWEI WAil. STORMS filS ..IS .ILAY S. SIWI. WAil. STORMS '""S
From MaiD to Curb --J, Septic Tanks From Main to Curb
From Curb to Building /fll /JI'I < V/~ Eleclric Pumps From Curb to Building
L Repair
INSIDE WORK
NO.
NEW
""S
RIP.
USID
filS
NO.
NIW
.IP. I USED
filS
NO.
NIW
.IP.
USE.
Bath Tub
Garbage DilpooaIs
Dishwashers
Catch Basins
Wash Basin
Conductor.
Water Cl_t
Laundramatl
Gr.... Catch Basins
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SIDk
Water Softene..
Sump Pump 8< Ejecto..
Water Heaters
Sanitary Bubble..
Bar and Soda Walles
Shower BathI
Urinai8
Floor DraIDa
Denial Cu.pido..
Laundry TubI
Semce Slnb
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Valuation of the Work Herein Described
$ 0.. 00.... .\2¿jJ)n. ~n. 0000 00.. 00 00 noon. 00 00 00"""
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Fee Verified. Receipted and Recorded
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City T,......,
$.000000...0..0000.......00......0000 ......o..mnm.m....m....n...
In the performance of Ihi, work the under,igned owner (or hi. authorized agent) of .aid premi... and hi, authorized Plumber hereby agree 10 ba bounden by and
submit to all statutes, city ordinances, and rules and regulations pre.cribed by the Board of Public Works for the government of Plumbers.
II Is futher egreed by the undersigned thet no other uses will be made of the above connections except as hereinafter Ii,ted.
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