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PLUMBING PER ZIT - shkosh, Wisconsin permit. N~ 1.746
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ø..... (' / / Name and,--' e
of ¡. . of --m--mmm--m --.- - - -- __m---m_--_--_-______m----- Number --fu---:-::-/2.-- ._m..('¿;;:Z~.-- -----------------'--------
PIumbeJ< -om --------------- . - - __mmm_--__--m_--_md Owner - - - - - ---- z-------y-
I N -, Block I Ward I Addilion or Replat
Lot 0,
OUTSIDE WORK
Date
NEW SEWE' WATE. STORMS fEES fEES 'ELAY S- SEWE. WATE. STORMS fEES
From Matn to Curb Septic Tanks From Main to Curb
From Curb to BuUclIng Electric Pumps From Curb to Builcllng
Repair
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:;Y
7'
y
NO.
INSIDE WORK
NEW
UP-
fEES
USED
NO.
"ES
NEW
.EP. I USED
fEES
NO.
NEW
'EP.
USED
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Bat!> Tub
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Catch Bulm
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~7'
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_-..7
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lß.r
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Garbage DlRposaIs
Wub Bum
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Conducton
Dlsbwuhera
Laundramats
WatN Cl_t
Gre.... Catch BuiDs
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Bar and Soda Wastes
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Sump Pump Ik Ejectors
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Water Softeners
Sink
Water Heaters
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ShOWN Baths
Sanitary Bubblen
UriDats
noor Drains
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2/
Senice Sinks
Dental Cuspidors
Leundry Tubs
Inspections
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Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection F...
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In the perlormance of this work the undersigned owner (or his authorized egent) of said premises and his authorized Plumber hereby agrae to ¡'e bounden by and
submit to all statutes, city ordinan es, and rules and regulations prescribed by Ihe Board of Public Works for the government of Plumbers.
d rslgned thai no other uses will be made of Ihe above connections except as hereinafter listed.