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PLUMBING PERMIT - ~shkosh, Wisconsin Permit N? 8330
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Lot No. Block Ward !>-ddildon or Replat
OUTSIDE WORK
NEW SEWEll WATER STORMS FEES FEES IEtAY S. SEWER WATER STORMS FEES
From MaID to Curb Septic Tank. From Main 20 Curb
From Curb to Building Electric Pumps From Curb to B"Uding
Repair
INSIDE WORK
NO. NEW UP. USOII flU NO. "'w REP. USED FEES NO. NEW REP. USED FEES
-
!lath Tub Garbage Dis~ Caleh Basim
-
Wash 18- Dishwashers Conductors
- - - - -
Wat... CI_t Laundramllb Grease Catch Bullis
SIDk Water Softellers Sump Pump 8< Ejectors
Water Heat.... / Ii. o-eJ SonitlUY Bubblers Bar and Soda Wastes
IIbGw", Bùbs Urirtals
Floor D%1IIDs Delila! Cuspidors
LaUllclry Tubs Service SlIIks
bapectioDl Valuation. o~Work Herelll Described Fee Verified. Receipted BIId Recorded Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his eythorired agent) of said premises and his authorized Plumher hereby agree to be bounden by end
submit to all statut.s. city ordinances, and rules and regulations prescribed by tha Board of Public Works for tha government of Plumbers.
It i. futher agreed by the undersigned that no other uses will be made of the above connections e".ept as hereinafter listed.
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