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J»LtMBING PERMIT ...Oshko~h, Wisconsin
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LLot Ho. I Block I, Ward'
OUTSIDE WORK
Permit N? 8062
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Addition or Re>lat
Dete
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NIW SEW.. WAr.. StORMS fEES fEES RElAY S. SEW'R WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
From Culb to Bu11ð1ng Electric Pumps From Curb to Building
Repair
NO.
INSIDE WORK
-I-I~I~I-I I~I_I~I~I-I 1-
REP.
USED
fEES
Batb Tub
Garbage DÙlpooaJa
Catcb Basins
Conductors
-
Wub Bum
Water CIOI8t
DlJhwashen
-
Laundr-
Grease Catch Buins
8hsk
Weter Softeners
Sump Pump 8< Ejectors
/
Vi.,¡ (J
Water Heate...
-I-
W,qo
Sanitary Bubblers
Bar and Soda Waot...
Shew.. Baths
UriDalJ
Floor Dr"
LaWldry TIIbo
I
r;/J ò
Dental Cuspidors
Senice 5mb
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IlIIpsctlons . ValJfation of the Work Herem Described Fee Verüied. Receipted and Recorded Received Permit and Inspection Fees
----jjj-;Y"-'7--:TA-'-"-Outoicle $ ~ /2';../ 01) .;.,................-..--Bewer F....
_.....L.Ì?'.-Ü-~:2Í_InoicIe .....ü.. ...j.L.......-.......----..---.......--- .".3&.O._......Plbg. Feas
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In the performsnce of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby sgree to be bounden by and
submit to all statutes, city ordinances, and ru'", and regulations prescribed by the ß".rd of Public Works for the government of Piumbers.
It is futher agreed by the undersigned that no other usss will be made of the above connections except as hereinanor listed.
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Plvmblng Ino,..,.,
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PLUMBING
I HEREBY CERTIFY THAT ALL OF THE PLUMBING IN THIS
MILL-CRAFT HOME, BUILDING NO.
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IS IN ACCORDANCE WITH THE STATE OF WISCONSIN
PLUMBING CODE.
Date:
;}~;?t~?s
/1 C. (/~4 ¡J - /e!
U 0.-18#/) (/v14-<Þ~
Signature
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Title
I HEREBY CERTIFY THAT I HAVE INSPECTED THE ABOVE
"
IT TO BE IN COMPLIANCE WITH THE ABOVE CODE.
NUMBERED JOB AND TO THE BEST OF MY KNOWLEDGE FIND
Inspected by:
¡jJ f/ /~
Ti~r.~
Subscribed and sworn to before me this