HomeMy WebLinkAbout0009164-Plumbing (bathroom)
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< PLUMBI~ERMIT ~isconSin Permit N'?
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I Lot No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
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9164
Date
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NOW SEwn WATE. SrORMS fEES fEES .ELAY S- SEWE. WArE. STORMS fEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
nom Curb to Bulldlnll Electric Pumps From Curb to Buildlng
Repair
INSIDE WORK
NO.
NEW
UP-
.EP- I USEO
'EES
'EES
"0-
USED
FIlS I NO-
NEW
NEW
UP-
USEO
Bath Tub
L
1
Conduclors
/dV
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Garbage Dispooah
Catch Basins
Dishwashers
Wash Basin
Was... CI_t
1
Graase Catch Basins
Laundramab
¡--
SInI<
Water Softenerl
Sump Pump Be Ejeclorl
Water Heaten
Sanitary Bubblers
Bar and Soda Wasl..
Show... Baths
Urinals
noor Dr"'"
Dental Culpidors
Laundry Tubs
Service Sinks
I...pedlons
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Valuation of the Work Herein Delcribed
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Fee Verified. Receipled and Recorded
Received Permit and Inspecllon F...
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Dale ~ /..s- -.2~
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--------------------F1Dal OK
City r.....",
In the performance of this work the undersigned owner (or hi. authorized agent) of .aid premises and hi. authorized Plumber hereby agrae to be bounden by end
lubmit to all .tatute., city ordinancel, and rules and regulations prescribed by the Board of Public Workl for the government of Plumbers.
It II futher agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed./)
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