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PLUMBING PERMIT - Os ash, Wisconsin Permil N<? 1016
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Dlie
NEW SEWn WATER STORMS 'EES FEES RElAY S. SEWE' WATE' SrORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW ..,. USED "ES NO. NEW 'EP. USE. 'EES "0. NEW RE,. USE. FEES
- -
BI1b Tub Garbage Disposals 1- Catch BasIDs
- -
I Wuh Basin ./ I/rtZ:> Dlshwashen Conductors
:; 1- - - -
WIi.. CI_I ./ v,tJtI Laundram&la Grease Clicb Basins
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Sink Wlier Softeners Sump Pump II< Ejectors
Water Helie.. Sanitary Bubblers Bar and Soda Wasles
Show.. BIIIha Urinals
noar Drains Denial Cuspidors 1--
Laundry Tubs Service Sinks
Inspections Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Recei"ed Permit and Inspecllon F-
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-dr._trÞ..-_PIbg. Fees
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submit to all statutes. city ordinances, and rules and reguletions prescribed by the Board of Public Works for the government of Plumbers.
undersigned that no other uses will ba made of the above connections except as hereinafter listed.
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