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PLUMBI~~~isconsin Permit N!',? 582
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Dú. I Lot No. I Block I Ward I Addition or Replú
OUTSIDE WORK
NOW SEWn WATER STORMS FEES Fm RELAY S. SEWER WATn STORMS ms
F- MaIn to Curb Septic Tanks From Main to Curb
FIom Curb to BuDding ~ ........-- c:f.oi) Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RIP.
REP. I USEO
Fm
ms
NO.
USED
FlES
NO.
NEW
NEW
REP.
USED
Búb Tub
Garbage Di8poea]a
Catch BulDa
Wuh Buin
Dishwuhen
Conducto..
Wú... Cl_t
Laundramabl
f--
Grease Cúch BulDa
SIDk
Wúer Softene..
Sump Pump II< Ejecto..
WÚ8r H.úen
Sanitary Bubblen
Bar and Soda Wutes
Show... Búhe
Urinals
noar Drúns
Dental Culpidon
-~-
Leundry Tubo
Service Sinks
~:~::_m_._m___.._..n___nm__Outside :;~__=~~:n::~::_:::=.:: Fee VerUied. Receipted and Recorded R~f~~~-;.n;e:n;:lon Fees
--------______m__---_.._--______n.n_-.--_-_-_m_Inside _____n_~.____n____m___-PIbg. Fees
--iR7~i-::==~~=:;:~-~; . :::::____m:::::::::::::::::::::::::::~:~:::::~:-=~:::::::::::~::~. -------..-m_______m_-Òïÿ-T;~;;~;~;--____..n_____._---..-- D~¡:-;%;~T;al
/ In the .Mrformance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinences, and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
It II futher egreed by the undersigned that no other usos will be made of the above connections except as hereinafter listed.
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