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PLUMBING P~~~Shl Wisconsin Permit N~
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
613
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Date
NEW SEWEI WAtER S'ORMS F'" FEES RELAY S, SEW'. WAtER STORMS flES
F...... Main to C...b Septic Tanks From Main to Curb
From C...b to Building --- ----' ~ Electric Pumps From C...b to Buncüng
Repair
-
INSIDE WORK
NO.
NEW
UP,
N'W
FE'S
.'P. I US,.
FE"
NO,
NEW
.EP.
USE.
US"
....
NO.
BathTub
Garbage DIs~
Catch BulDs
I--
Wub Buin
Dlsbwuhen
Conductors
Water Clooet
Laundrama.ill
Greue Catch BulDs
r--
SIDk
Water Softene..
Sump Pump II< Ejecto..
Water Heaters
Sanitary Bubblers
Bar and Soda Wutos
Shower Baths
Urinais
Floor Dr8IDs
Laundry Tub8
Dental Cuspidors
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Senica Sinks
Inspocüons Valuation of the Work Herein Described Foe Verified. Receipted and Recorded Received Permit and Inspection Foes
~~::::=::=::::::::::=:::::::=:::==:=:=::::::c:;~:: $...~72.9...":':~.m.m.__m...--"_,-,......._....- ..,:/::'%::::::::::,~r F:7
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In the performance of this work the undersigned owner (or his authorized agont) of said premises and his authorired Plumber hereby a~ree fa be bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
It Is futher egreed b~ the undersigned that no other uses will be made of the above connections except as harainafter listed.
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