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REFERENCE CARD i 1 '
PLUMBER 0 eff "../ DATE . ._ ... -. 11. PERMIT NO.
NAME OF OWNER - -- - - /i. - /_ --- , kP7Td CJ _ _ ..__ STREET and NUMBER _ 1419'..,3 -. - -. („4,2.444/34r .._ Ld: la' ^
Description / _ Lor
4 1.44..e.- �C//"`"uy NOS ,(� , - I Bleck Addition Ward
'r ' OUTSIDE e76 R t - ....4-4- 9 U e_ OUTSIDE WORK �'
Now S. Sower Water Storms Relay S. Sower Water Stones
From Main to Curb From Main to Curb
From Curb to Bldg. _ From Curb to Bldg.
Electric Pumps 4 Repair
Septic Tanks I
INSIDE WORK
NEW REP. USED FELS 4I NEW , REP. USED FEESII NEW REP. USED FEES
Bath Tub � 1 Garbage Disposals �! Catch Basins
Wash Basin ; DisliwaFLorF '' Conductors
Water Closet Laundramats Grease Catch Basins
Sink Water Softeners Sump Pump & Ejectors
Water H eaters _ Sanitary 1 3uhblers i + __ B :- and Soda Wastes _� _
Shower Baths i j Urinals i 1 Range Boilers
Floor Drains is Dental Cuspidors t 1 ii
Future Outlets
Laundry Tubs ( 1I Service Siniks 1
Inspections l Remarks I
Outside Sewer Fee
Inside 6 t /4f1? __.._.. - - - -. -_ Plbg Fee
._
ST -q/. 9 I �
� I .�..._... -._ .._..__.__-- - - - - -- Total
- Final0l� i Valuation .._
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