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OUTSIDE WORK
Dale
NIW SEWEI WAIER STORMS ms FEES RElAY S. SEWER WAIER STORMS FEES
Fmm MaID to Curb Septic Tanks From Main to Curb
Fmm Curb 10 BlIIlcling Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
MO. NEW UP. USED FlOS NO. "EW REP. U"D FEES NO. NEW REP. USED FlES
.¡ /:60 - - -
BaIb Tub Garbage Dispos&!a Calch Bum.
J. T /.0[) I-
Wuh Bum Q.,60 Disbwube... eondudoTl
7 - - -
W- Closet ;¡ ;¿ ,0 LawulriUWWI j,ÓO Gre..... Celeb Basm.
Sink / !Ö() Wale~ SofIeneTl Sump Pump 8< Ejectors ! {JfJ
W- Hwen / I-ap Sanüuy Bubblers Bar and Soda Wastes
Sho....... BaIbs ( /,(J() UriDa!s
Floæ Drallis Denial Cuspido...
Laundry Tubs Service Sma
IDSpediODS :gild::~:~::_:~:~_::: Fee Verified. Receipted and Recorded Received Permi! and Inspection F...
- ------iZ""LZ2 ---Ouiaide ---.--..--------------8e....r Fees
------------ U. __:2L_Inside ._~-f2àpJbg. Fees
----/Oho~~-- $..-----..------ -...--.-----. ----.--- --.----- ...- ~-L-..Q::î--Toial
$.----.-..-------.-.--------------.------.----- -----.'--------'-'.---'CïtŸTre;iù;ë;---'--------- Dale /~r
-------.--..-. ----EinaI OK
In the performance of this work the undersigned owner (or his authorized agenl) 01 said premises a"d his authorized Piumber hereby agree to be bounden by .....
submit to all statutes, city ordinances, and rules and reguiations prescribed by the lIoard of Pubiic Wor r the govern'" I 01 Plumbors.
It is luthe. agreed by the undersigned thai no olher uses will be mode 01 the above connections e .ept 'S he
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