HomeMy WebLinkAbout0008982-Plumbing
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LL~J'_O'n I Block I Ward I Addition or Replat
OUTSIDE WORK
Dale
NIW SEWEI WAUR STORMS FEES FEES RELAY S. SEWER WATER srORMS FEES
From MaiD 10 Curb Septic Taaks From Main to Curb
INm Curb to BuUcIIq Electric Pump" From Curb to Building
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Repair
INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USED FEES NO. NEW UP. USED "IS
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1I&Ih Tub Garbage D~ Cúch BUÚIS
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Wuh BuID DlIbwuhen Conductors
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W- CI_I I ;.H) Laundramab Graue Calch BUÚIS
SIDII: Water Softeners Sump Pump Ik Ejectors J II. /HI
W- Healers Sanitary Bubblers Bar and Soda Wutes
8how. Baths / !H/ Urinals
Floor Dr"'" / j~ Denial Cuspidors
Laundry Tubs Serrice Sinks
Iaspeclioas Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Iaspactlon F-
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~j¿li¿2.&.----.--F1nai OK $----....----..------..---...m---..-----...-------.-_.--._m-__-.-.- .m"""""'-'-'----'--cliÿ'Ÿmïû;õ;--""'-"""----"""- Dale .1-~ 7 b
In thOt performlnce of this work the undersigned owner (or his luthorlzed agent) of slid premises Ind his author ired Plumber hereby Igree to be bounden by and
submit to III statutes, city ordinlnces. Ind rules Ind regulations prescribed by the Bolrd of Public Works for the government of Plumbers.
It Is futher Igreed by the undersigned thlt no other uses will be made Df the above connections except IS hereinafter listed.
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PLUHB ING
I HEREBY CERTIFY THAT ALL OF THE PLUMBING IN THIS
MILL-CRAFT HO!1E, BUILDING NO. ¡J / '/ /'S-
IS IN ACCo.'ìDANCE WITH THE STATE OF WISCONSIN
PLU11BING CODE.
rate: 'j-;}- 77j--
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I HEREBY CERTIFY THAT I }L~VE INSPECTED THE ABOVE
;;'UMBERED JOB AND TO THE BEST OF MY KNOIr.i.EJX;E FL'ID
IT TO BE IN COHPLIA.'CE 'JITH THE ABOVE CODE.
Inspected by: 7 "'._"' ~rl ~
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Title
Subscribed and Sworn to Before Me This
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ray of e>tJA' /'.--c.-~Jv;...,.-
19 7 <'"
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~County. ji£'sccnsin
Notary Pùblic
My Commission Exp~res
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