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PLUMBING PE 12- 0 osh, Wisconsin.<. Permit N<? 1719
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._....~~---._-_.--.__._-_.._--.-----_._._. Owner ----------- --.. . .------.. ...--------.......----.------------... Humber ~....J~--------...--....._-
I Lot Ho. I Ward I AddUion or Replat
OUTSIDE WORK
7
Data
NEW SIWEI WATEI STORMS lEES FEES R"AY S. SEWER WATER STORMS FEES
From MaID to Curb Septic Tanks From Main to Curb
From Curb 10 Building Electric Pumps From Curb to BuilcUng
Repair
INSIDE WORK
NO.
NEW
..,.
USED
NEW
R". I USED
NO.
NEW
FEES
R".
USED
FEES
HES
NO.
Bath Tub
Garbage DÏ8poIaI8
Dlshwuhan
Catch Bulns
I--
Wuh BulD
Conductors
Water CIOI8t
7
/'
Greue Catch BuiDs
;J---
Laundramats
I--
1..
I/~
Water Softeners
Sump Pump 81: Ejectors
/'
SiDk
Wùar Heaters
Sanitary Bubblers
Bar and Soda Wutes
Shower Bath8
Urinals
FloĊ DraiDs
Dental Cuspidors
Laundry Tubo
Service Sinks
Inspections
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
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¡fn tM performance of this work the undersigned owner (or his authorired agent) of said premises and his authorizad Plumber hereby agree to be bounden by and
submit to ell statutes, cily ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbars.
It Is futher agread by undersigned that no other uses will ba made of the above connections
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