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PLUMBING PERMIT - Oshko~~2~isconsin . Permit N? 8063
...._.__.~2_._...._.n___. . ::!:r ._--_d~~.;~,..../ .:!~t ........_-~?£:_~_Z; .
I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Dill.
NEW SEW" WATER $IORMS FEES FEES RELAY S. SEWER WATER $IORMS FEES
From MaiD io Curb Septic Tanks From Main So Curb
From Curb SO BuUcIID¡¡ Elecuic Pumps From Curb io Building
Repair
INSIDE WORK
NO.
NEW
UP.
USEI>
FlES
NO.
NEW
"P. I USE.
FEES
NO.
NEW
REP. I USED
FEES
BaIb Tub
Wub Dubs
Garbage DiI~
CaIch Bu¡""
I--
Dishwuhen
Conduclor.
Wilier CI_t
/
~o~
Grease Cllleb BaslDs
LalU1drama.ll
Sink
/
~ð(f
Wilier Softeners
Sump Pump 8< Ejeclors
Wilier Hellle..
I
Bar and Soda Wasle.
'/.110
Sanilary Bubble..
Show.. Balbo
Urbsala
Floor Drebss
/
Denial Cuspidors
'/. (jO
w.unclry Tuba
Ser'rioe Sbsks
Inapedlons . /. r-'" V~ation of ~e Work Hereiu De.cribed Fee Verified. Receipled and Recorded Received Permit and Inspeclion Fees
____LLlL..2,L___-_Oulllde $/1' .c. 25¥.. ð ()..~_......__._._...Sewer Fees
~~~~~7Z¡fJi2=.._~I~ $~:~-~-~~-_:=::~~=:=:~~=~-~:~=~~:~ -.-.-'.'-.'-"--"""'-.-'.---.--...'..---""---..'...-. :l..~~~-£Q~~~: Fees
--da ' =-ë..FbsaI OK $..-..--........--.........----........-..-.-...-..- City ".."'", Date ~ If /94
In the performance of this work the undersigned owner (or hi. authorized agent) of ..id premises and his authorired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, 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 use. will be made of the above connections except as hereinafter listed.
D - > 7J-.~" hi, ~~;¡;;'¡-..ii1.--.....---.-----n........----_..._.._..
~..- ..-----.-.-------..--...---------- . .....
Plumbtng I_' n.. -.-..
.(j---""~"._'~~--------_..'_..---._'_..---.'."---.'."_..------'----
PLUMBING
I HEREBY CERTIFY THAT ALL OF THE PLUMBING IN THIS
MILL-CRAFT HOME, BUILDING NO.
/7/5
IS IN ACCORDANCE WITH THE STATE OF WISCONSIN
PLUMBING CODE.
Date: ,) -;? Co. J S-
D~£!
Signature
~-v-
Title
I HEREBY CERTIFY THAT I HAVE INSPECTED THE ABOVE
NUMBERED JOB AND TO THE BEST OF MY KNOWLEDGE FIND
IT TO BE
IN COMPLiANCE"WITH THE ABOVE CODE.
Inspected by: cI ~~k
Tt: ? ~,
Subscribed and sWorn to before me this
~