HomeMy WebLinkAbout0009222-Plumbing (fixtures)
~
)
PLUMBI~ - ~.mnSin ... Parmi! N? 9222
:~r -------~--_.------------------....._--- ::!:r ._-__---_;?~¿fr~___~_q--_éJ....:?_-------~~ :;':~r ---___~~_Æ~~----_._-~C!.c!__?_¿Z~
¡ Lot No.
1-- Addition Or. Rep¡8~
I Block l Ward
Date
OUTSIDE WORK
NIIW SEwn WATER STO""S FEES FEES R"AY S. SEWER WATER STO""S ...s
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
110. NEW u,. usm FE" NO. NEW REP. USED FE" NO. NEW REP. USEO FEES
~ - - ~
Beth Tub Garbage Dispooak - Ca!cb BolDs
~
Wub Boin Dishwobers Conductors
7 - - ~ - ~
WatN CIONt Laundrama!8 1- è:J¡ Grease Catcb BolDs
SIJIk Water Softeners Sump Pump tit Ejectors I /..èJ
Water Heaters / j;1Jð Sanilary Bubblers Bar and Soda Wotes
ShowN Batlul UriDa1a
noor DraIDs / 1- dO Dental Cuspidors ~
Laundry Tube Serviee Sinks
lnopeetions Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permi! and Inspection Fees
~=::~7.¡:;jj.Z:::=::::::=::::~O;:~: $!~_C!__tJ._Q--~-<;1-0------------------------_._-------- ---------------------------Sewer F...
~-f::-:f:::::::::; Fees
$--------------------------------------------------------------------------
~Jl~~Zi?e:~==::::;~--;;; $---------------------------------------------------------------------- --------------------------ë-,¡;¡ÿ,...ü,.;-------------------------- Date 5/// /? ¿;
J
In the performance of this work the undersigned owner (or his authorized agent) of said premises end his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
=B~~~~~~~~'~~:_=~t_::::::::-:__.:::~_:_--_:_~_::~:::_~::
---~7¡::----7!4~~L----~---
PI,mbe,
~/
CERTIFICATE OF COMPLIANCE WITH-
-~6J ts--- .:?otf? o!k.::~
STATE OF -___~~~9~~~!~_-------------
PLUMBING CODE
I S.O. # m_??_~~L_-_mm-1
I hereby certify that all of the plumbing in bath core serial no. -~Zg~~~~=~2____-
installed within a Wausau Home is in accordance with the State of -_IIT!~~~~~!~-------
Plumbing Code. Also, that the drainage and -vent piping has been tested with 20 pounds
air pressure for a period of Yz hour. The water supply piping has been tested with 100
pounds of air pressure for a period of Yz hour.
This work has been done under the direct super-vision of ~~_I_G.!I__c:.'_!:.r..s_I!.E:.~-----,
-------------------------- licensed master plumber, license no. Wis. 2699 - Minn.
1951 - Burlington, Iowa 196 - Ottumwa, Iowa 36 - Mason City, Iowa 5422,
date --___J'..~_r_1.!.a_r.Y.._:¡'J_,-_l~z.L--____-.
SUBSCRIBED AND SWORN TO BEFORE ME THIS
r?' ~_. ( <_~m_____-
'1l:;;:;;r--/-
Jii-th. February 76
fft::.:-s.dD;;;;;)-:~:~:~ ~~~~:
MASTER
-------------------------------------------
TITLE
My COMMISSION EXPIRES 8-22, 1976
WITNESSED BY:
-- ----- -- -- -- --- --- --- - ---- - -- - - -- - --- - - ----
RALEIGH FISHER - MASTER
PLUMBER #2699
STATE OF WISCONSIN
-}-
~
~
,;<)
or