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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nf.) 8943
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I Lot No. I Block I Ward I Addition or iileplat,
OUTSIDE WORK
Date
Naw SEW" WATER STORMS fEES fEES RELAY S. SEWE. WATER STORMS FEES
From Maht to Curb Septic Tanks From Main !o Curb
From Curb to Building Eleolric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED flES NO. NEW RIP. USED FEIS NO. NEW REP. USED FEIS
-
BathTub Garbag. DispoeaIa Catch Bum.
Wuh Buill Disbw...¡'en Conduoiors
- - - - -
Water CIM8t Laundrama.l!l Gre..... Catch Bullis
SIzk Water Softeners Sump Pump 8< Ejeclors
Water Heat.rs J '2 z,CX sanUary Bubblers Bar and Soda W...les
Sbo...~ Baths UriDsIe
Floor DraIzuJ Dental Cuspidors
LaWldrr Tube Service Sillb
IlilpscIlolI8 Valuation of the Work Hereill Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
-----------.----Outslde $-----_L._trd,)O__!'!._-------------------- -----lI;----------__--Sewer Fees
--------------1II81de ----~.æ1L-Plbø. Fees
------------- $---.------.--------------------------------------- ------_b_q:Q.._.-Tolai
-----------FiDaI OK $----------------------------- ----------------------cliÿ-T;ë;.~;ë;----------'---------- Date I //.~/ J)¡;;
In the psrformance of this work Ihe undersigned owner (or his authorized agÐnt) of said preml.e. and his authorized Plumber hereby agree to be bounden by ""d
submit to all stalutes, 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 uses will b. mode of tho above connections except as hereinaiter lisled.
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Plumbing In_'
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