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HomeMy WebLinkAbout0000000-1962 to 1978 ,) ~iI1 Name of PlumI>er ~~___Pž~';;-a:on:ät ~~~?- I Lot No. I Block I Ward I Addilion or Replot OUTSIDE WORK n'h_..._.......-- 1707 Date NEW SEWn WATE' STORMS "ES FEES 'ELAY S. SEWE' WATE' STORMS FEES From MaIn to Curb Seplic Tanks From Main to Curb From Curb to BuDding Eleclric Pumps From Curb to BuUding Repair INSIDE WORK NO. NEW u,. USID NO. .... NEW .E'. I USED 'EES NO. NEW .E,. I USED 'EES Bath Tub Garbage Dispoaals CB1ch Bains þ Conductors ( / Wub BalD Dishwahers Wider Cl_t Laundramlds Grease Cldch Bains I-- Sink Wider Softeners Sump Pump 8< Ejeclors Wider Helders Sanilery Bubblers Bar and Soda Wates I ;- ../ Shower Batbs UriDals Floor DraIDa Dental Cuspidors Leundry Tubs I I I I I Sen;... Sinks Inspec!ions i Valuldion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe.. ~:::::::=:::::::===::=::::==:=:::::=:=::=::c;.:~: $$5C2..Zh..................._hh................ .":':?~~::::::n:~r F:-: ~==~==~=::::=::::::::::====:::::;~...~; :..:::::::::::::::::::::::::::::::::::::::::~:::::~"~~~::::::::::~::~ ....n"""""""""ëíïV'Tm;~;.;""""'h"""'-""" j D~:'~*ß7 In the performance of this work the unde..igned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end submit to ell statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbe... derslgned thet no other uses will be made of the above connections except as hereinafter listed. f~~...... """""""""----........