HomeMy WebLinkAbout1977-Plumbing (laterals)
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Plumber
l'YI-l1n Name - ~.
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I Block I Ward
I Lot No.
. Permit N? 45
hkosh Wisconsin
PLUMBING PERMIT - Os , '=' /0 2L2Z1ar~_-
Number ---00--00---00----
¡ Addition or Replat
Date
OUTSIDE WORK
NEW SEWD WAtE. STORMS fEES fEES .ElAY S. SEWE. WAtE. STORMS fEES
From MelD to Curb ) Seplic Tanks From Main to Curb
FJom Curb 10 BuDding 'f 'I r!:f" //J~ Lf->O( Eleclrlc Pumps From Curb to Building
Repair
INSIDE WORK
110. NEW UP. USED fEES NO. NEW .... USED FEES NO. NEW .... USED fEES
~
Búb Tub Garbage Disposals Cúch BuiDs
~
Wub Buin Dilbwuhers Conductors
- - ~ - ~
Water CI_t Laundramais Greue Catch Bains
~
Sink Water Softeners Sump Pump 8< Ejectors
WÚ8r Heaters sanUuy Bubblers Bar and Soda Wates
Shower Baths Urinals
Floor Drelna Dental Cuspidors
Laundry Tubs Servlee Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipted and Recordad Received Permit and Inspection F-
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In the performance of Ihis work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulalions prescribed by the Board of Public Works for the governmenl of Plumbers.
I! Is futher agreed by the undersigned thai no other uses will be made of the above connec9'1ns ex~,pt as herei(laf or listed.
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