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PLUMBING PERMIT -. Os~Jcosh, Wisconsin
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Permit
N~ 272
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I_~ddmo_n~r Replat
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/ ..L.oI50. Block-
OUTSIDE WORK
Dale
Ward
NEW $lWEI WAfER STORMS FEES FEES mAY S- SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
FIom Curb 10 Building Eleclric Pump" From Curb 10 Building
Repair
INSIDE WORK
110. NEW u,- USED FRES NO- NEW RE,- USED FEES NO. NEW RE'. USED FEES
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Bath Tub Garbage Di8~ Catch Basins
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Wub Basin Dlshwashen Conduclors
- - - -
Waler Cl_1 Laundrarna18 Gr.... Calch Basins
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SIDk Waler Softeners Sump Pump Ii: Ejeclors
/ Waler Healen v I, ex.. Sanitary Bubblers Bar and Soda Wasles
Shower BaIIu Urinals
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Floor DrIllll8 Denial Cuspidors -
- -
Laundry Tub< Senice Sinks
IDipeclioDi Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon Fees
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In the performance of this work tho undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agr~a to 'be bounden by and
submit to all statutes, city ordinancas, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except a. hereinafte
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