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PLUMBING PERMIT ,- Oshkosh, Wisconsin Permit N~ 1595'6
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Date I Lot No. I Block \ Ward I Addition or Replal
OUTSIDE WORK
NEW SEW" WAUl STORMS FEES fEES .ELAY s. SEWE' WATE' STORMS FEES
From Main to Curb Septic Tanks From Main to Curb
From Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RIP. USEO FEES NO. NEW 'EP. USED fEES NO. NEW 'EP. USED fEES
- ~ - -
I Bath Tub ....... ¡""- f Garbage Dispolla!s ¡/' L- Catch Basw
-ý Wash Basin ,/ k/ ' Dishwashers ,./' I/~ Conductors
~ - - - -
7' Water Cl_t /' )....... ( Laundramab ~ 1"-- Grease Catch Basins
...... f--
L BIDk ./ Water Softeners Sump Pump" Ejectors
L Water Heaten ,/ ¡/ sanUary Bubblers I Bar and Soda Wastes I~ /~
Shower Baths Urinals
I Floor Drains ,./ ;/ Dental CWlpidon
Laundry Tube Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipted end Recorded Received Permit and Inspection Fees
----------------------------------_____Oulside $~-~------'-----------------------------------' _u_------u_----------u---Sawer Fees
----------------_u_------------------------------------Inside ----/Q;(,Þ:"?----_Plbg. Fees
---------------------.-----------------------.---- $-------------------------------------------------------------------------- .--..!,:'¿..Ç2.<2---__Total
~----------------------------F1Da1 OK $u_------.------------------------------------------------------------_u- ----------------------cl¡:;-T;;;;~;ë;----------u-------------- Date
In the performance of thi. work the unde..igned owner (or his euthorired agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to en statute.. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbe...
It i. futher agreed by theß,Ii'derslgned that no other uses will be made of the above connection" except as hereinafter listed.
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