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PLUMBING PERMIT
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-----...--- Owner /I-A_- - , *- S Permit '-T. f'
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LL_ot No. I Block I Ward
OUTSIDE WORK
¡ Addiiion or Replat
Date
NEW SEWIII WATER STORMS FEES FEES RElAY s. m... WATE. STORMS FEES
From Mabt 10 Curb Septic Tanks From Main to Curb
From C\ub to Building Electric Pumps From Curb 10 Building
Repair
NO.
INSIDE WORK
-I-I~I~I~I I~I~I~I~I~
FEES
NEW
REP. I USED
Batb Tub
/
1
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I
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Bar and Soda W..te.
Garbag.. DÏllpooaIs
Catch Basm.
I-
Wub BulB
Wet. C~I
Dlshw...he..
Conductor.
I
l¿/-c
Laun<lrlUllll.bl
Grease Catch Buins
SIBle
Sump Pump 8< Ejectors
J
J7 é'-â
Water Softeners
Water Heat...
Sanitary Bubblers
811"",- Bûha
'I1rIDIIJs
Fl...... Dretna
/
Denle! Cuspido..
I/lt)
Laundzy Tuba
Service Sinks
Inspectiona Val't,aU~n of the Work Herein De.cribed Fee Verified, Receipted and Recorded Received PermIt and Inspection Fees
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In the perlormance of this work the undersigned owner (or hi. authorized agenl) of s.id premises and his authorized Plumber hereby agree to be bounden by and
submit to all slatutes, city ordinances, and rules and reguiations prescribed by the Board of Public Works for tho government of Plumbers.
It i. futher agreed by the undersigned that no other use. will be m.de of the above connections exoept .s hereinýtór listed.
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