HomeMy WebLinkAbout0008289-Plumbing
~
\
)
)
If.....
of
Plumber
P~~~BI~~ft. O~iSc:ons~:eel -, .. Permit ~? 8289
------~-_.._--_.._-------- O:'er _.._._--_.-Jf1i!fL------~._---_._-------- If::::ber .._._-_..Yf:C).._~~~
I_L_otlfoo -.1 Block I Werd I Addillon or Repla~
OUTSIDE WORK
Da!8
NEW SiWU WAt.. StORMS FEES 'EES RELAY S. SEWE. WATER STORMS 'EES
From MaiD 10 Curb Septic Tanks From Main to Curb
~m Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW "P. USEO ..OS NO. NEW REP. USED fEES NO. NEW REP. USED FEES
Bath Tub GarbRlle DiJpoIaIa Catch iluins
I f---
Wash Buin j,rJO Dishwuhers Conductors
7 - - }Ô~ - -
WaI"" CIOO81 .I ~af Leundrama.tE Grease Calch Buine
SIDk Waler Soft.ners Sump Pump 8< Eieclors / ¡"O~
Wa!8r HoMo" ./ ~ (j{) Sanitary Bubble.. Bar and Sode Wutes
Show.. BaIhs Urinals
FlGO:!':Þralna / ~dO Dental Cuspidors
LaWl.dry TuIoo Service Sinks
~:=~~___Oullid. Va~ion of Ihe Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Feeo
$------1-t2Q...._Q.9__--_-----------------------..--- ---$i1Ji------_--_s.wer Fees
--_..__.Ø£ ---_Inside .~ ~--_.Plbgo Fee.
=..J:Ý.dß2-Fb1al OK $--..--..----.-..--..-----.---------------------. ~ ~-i?d.--T01ail
$----------------------------------------------- ------------- -------- ëiiYr re..û~è;----------------- Dale ó-~g- 7~~
fí
In the ptlrformence 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 luther agreed by the undersigned that no other uses will b. made of the above connections except as hereinafter Ii.ted.
)j;:;;/l..~J1;;~~~~~:~~~:~'::::: :::-:: :-~~~:::. ::_:_::~:~::
-----------------------------~rÎ;~-----------------'------'--
PLUMBING
I HEREBY CERTIFY THAT ALL OF THE PLUMBING IN THIS
MILL-CRAFT HOME, BUILDING NO 0
s tJ - /8',Ç 0
IS IN ACCORDANCE WITH THE STATE OF WISCONSIN
PLUMBING CODE 0
Date:
</ / ~- 73-
[)~ a~
Signature
,"
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.
,""."., "" '7"-J7,-,,-~
f?d /riJ.
Title
~
-
Subscribed and sworn to before me this
¡fA- Day of ~
~/'~ &""?"<~ w~'otary
-Wa paca Collnty, Wisc. sin
" ~¿:::l,:ð?!ß;~~\
My Commi.§si"oh ëxpii~s ~_"i/¿ï ---- ~
\ ~~~"c,..,-.'.'.'.......'."',..','.;.~."".:.',..:.::-,....,.."....".._.,....Z.' '
:"i:~~i';::' . i;'~-
"':;:.;.
1 9 .;z.£-
Public
197Ø