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,PLUMBING PERMIT -OshkC)$l'I~,W¡$~on$¡n PermitN? 8061
------------~-t------------- ::!:r _____~OO___&~~---~ :~::r ------oo~3_~---___-~--
Date I Lot No. I Block I ward' - .C," . " I Addition or Relllat
OUTSIDE WORK
:11'-
of
PIUDIbor
NEW SIWU WA'U nORMS FIES "ES R"AV S. SEWE. WA"R nORMS "ES
From Main 10 Curb Septic Tanks From Main 10 Curb
FJom Curb to BuUdIa.g Electric Pumpe From Curb to Building
Repair
INSIDE WORK
NO.
NEW
USE!>
NEW
FEES
REP. I USE.
"ES
NO.
NEW
REP.
USE.
UP.
"ES
NO.
Bath Tub
Wuh Bum
-
~
LaundrllllUl!i
Catch Basins
Garbage, DiI~
-
'/.00
¡, óO
Dishwashers
Conductors
~oo
7
Gre... Catch Basins
Water CIOHI
SIIIIo:
Water SofIe"ers
Sump Pump 8< Ejectors
I
1.00
Water Heal...
1/
senUazy Bubblers
Bar and Soda Wasles
r/,() 0
Sho...... Baths
urùWs
Floor Dralna
L
j,(JO
Dental Cuspidors
Laundry Tubs I I I I I I Service Sinks ,
- ~lj-, Valuation of Ihe Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection F-
- ~-.- JlJ£.ß..n----- 7#Æij--- -
------~~ - L. J_~____Ins~ $.------------------------------------------- ~ -:_ð_a:=:~~P~' Fees
--- s-; -------------------ëÏtÿÿ;;-.,;;;;------------- IJ.. . /- T aI
-=- (ZF;, InaIOIC $----------------__--__00-------___----- Date //~r/?Y
In the performs nee of this work the undersigned owner (or his authorized agent) of said premises and his authorizsd Plumber hereby agroe to be bounden by and
submit to all statutes, city ordinance.. 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 uses will be made of the above connections except as hereinafter listed.
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----.-----~----_.<~__--_oo---.--_.._----.--.--_._----------
-- " -~,-
PLUMBING
I HEREBY CERTIFY THAT ALL OF THE PLUMBING IN THIS
MILL-CRAFT HOME, BUILDING NO,
/933
IS IN ACCORDANCE WITH THE STATE OF WISCONSIN
PLUMBING CODE.
Date: );l-S--?!
f)~y~.4
Signature
Title
I HEREBY CERTIFY THAT I HAVÉ INSPECTED THE ABOVE
NUMBERED JOB AND TO THE BEST OF MY KNOWLEDGE FIND
IT TO BE IN C.O""'ANÅ’ ""v. ~::E..-
Inspected b:;.~ II ./ / (~¿'7.. ')
Tit(fd /~
Subscribed and sWorn to before me this