HomeMy WebLinkAbout0009734 P
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PLUMBING PERMIT - ~~sconsin Permit N<: 9734
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I Lot No. Block I Ward I Addition or Replat
OUTSIDE WORK
Data
NEW SEWEI WATER STORMS 'EES 'EES RELAY S. SEWER WATER STORMS "ES
From Main to CW'b Seplic Tanks From Main to Curb
From CW'b 10 BuDding Eleclric Pumps From CW'b to Building V
Repair
INSIDE WORK
NO.
NEW
USED
NEW
REP. I USE.
NO.
FEES
NEW
REP.
USE'
FEES
"ES
NO.
RIP.
Bath Tub
Garbage Disposals
Catcb Buw
Wub Buin
Dishwuhen
Conductors
Wilier CI_t
Laundramals
Grene Cllich Buw
Sink
Wlliar Softeners
Sump Pump 8< Ejectors
Wilier Hellian
Sanitary Bubblers
Bar and Soda Wastes
Shower BIIihs
Urinals
noor Dr8lu
Dental Cuspidors
Laundry TubR
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Senica Sinks
Fee Verified. Receipted and Recorde.,...".
~~e~!o~~o ."~,rmit and Inspection Fees
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Valuati5of Ihe Work Herein Described
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City T,...u,"
Date
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7~
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In the performs nee of this work the undersigned owner (or his authorirad agent) of said premises and his authorized 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 usos will be made of the above connections except as hereinafter listed.
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PlumbIng In._'
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Plumbe,