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PLUMBING PER~IT - Oshkosh, Wisconsin
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I Lot No. 1/ I Block I Ward
OUTSIDE WORK
Permit N? 9263
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StINt
and
0-- Number -
I Addition or Replat
Date
n.
NOW SEW" WAU. STORMS "ES "ES .ElAY S, SEWE. WATER STORMS "ES
From MaIn to Curb 1.t.t4 (!/' Fez d-rtJ Septic Tanks From Main to Curb
nom Curb to BuUdtoll Electric Pumptl From Curb 10 Buildtog
Repair
INSIDE WORK
NO,
NEW
u,.
NEW
"ES
.E'. I USED
"ES
"O.
NEW
USEO
FlES
NO.
REP,
USED
_Tub
G81'bage Dlapolala
Catch BaslDo
f--------
Wuh Basin
Dishwashen
Conduc.lors
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WÚ81' Cloeet
Laundramals
~
Grease Cúch BaslDo
SIDk
Water Softeners
Sump Pump II< Ejectors
Water Heúers
Sanitary Bubblers
B81' and Soda Wasles
Shower Búhs
UriDaIa
"cor DraIDI
Denial Cuspidors
Laundry Tube
Serv!œ Sinks
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Valualion of Ihe Work Herein Described
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Fee Verified, Receipled and Recorded
Receive!! Permil and Inspoclion Fe..
.--msJ'~--~.~m.Sower Fees
::.::~~:::; Foes
Date b./¡t! 7b
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City T,...u,",
In the performance 01 this work the undersigned owner (or hi, authorized agent) of ,aid premises and his authorized Plumber hereby agrea to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It is luther agreed by the undersigned that no other uses will be made 01 the above connections except as hereinafter listed.
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CERTIFICATE OF COMPLIANCE WITH t~ ~-, --.. Õ -
CITY OR STATE O~~~:;~:j~::r:L~~nn__~~~ ., I S.O. # _.!C'!.ZZ.9_-~------~--~-1
I hereby certify that all of the plumbing in house no. --_:r.:r.~~~!.~~-------- installed
within a Wausau Home is in accordance with the City and/or State of -_LŒnQNllli\L__~~
Plumbing Code. Also, that the drainage and 'Vent piping has been tested with 20 pounds
air pressure for a period of Yz hour. The water supply piping has been tested with 100
pounds of air pressure for a period of Yz hour.
This work has been done under the direct super'Visionof _____I~'£~~~_~J:.~~E:.1!:_---,
-------------------------- licensed master plumber, license no. Wis. 2699. Minn.
1951. Burlington, Iowa 196. Ottumwa, Iowa 36 . Mason City, Iowa 5422,
date --_":~'::_:y"_~~,-_!.~~~-------------_.
19_J1).
PUBUC
My COMMISSION EXPIRES 8-22, 1976
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FORM NO. 43076-8 M,P.
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SIGNATURE /
nn - Y..MITEJL - nn - - - -- nn - - -- - - -- - --- -- - ----- .
TITLE
WITNESSED BY:
_____nn____nn____- nn_____nn_nnnnn___--_nn-
RALEIGH FISHER. MASTER
PLUMBER #2699
STATE OP WISCONSIN