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rIL ~ PLUMBI.NG PERMIT - Oshkosh, Wisconsin Permit N'? 1157 >(
Name Street
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I Lot No. --I Block I Ward I Addition or RePlat-
OUTSIDE WORK
NEW SEWEll WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From. Main to Cub Septic Tanks From Main to Curb
~m Cub to Building Electric Pumps From Cub to Building
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INSIDE WORK
NO. NEW REf. USE/) FlES NO. NEW REf. USED FEES NO. NEW REf. USED fEES
- - - -
Betb Tub Gubage DilpoEaIa Catch BulDs
Wuh Buln Dilbwuhen Conducto..
- - - - -
Water CIONt LaundramatE Greue Catch BulDs
-
Sink Water Softene.. Sump Pump Ie Ejecto..
Water Heate.. Sanitary Bubblers Bu and Soda Wutes
Shower Baths Urinals 1-
Floor Dralu Dental Cuspido..
-
Laundry Tubo Service Sinks
Inspections : a¿ ~~--=::~- _::::i:_:::::: Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
- -----___--m --- --- ---- --- -- - ----- -------- Outside ------¿--~--m--Sewer F...
._-------------------------_--_--__m--m._-----m_Inside _m_--mm--m----__----Plbg. F..s
$---------_._--_--m----m-----mm--m__m--__m__.------_--mm. D~;&}7
=~"""iiþ~þ?---~~~;' $--------------_------_m--m_----m--_mmm-mm_--_m----__-- m_m---------m-----Ò;Ÿ-T;;;~;;ë;-----m_------m_----m
In the performance of this work the undersigned owner (or his euthorired agent) of said premises and his authorized Plumber hereby agree io be bounden by ...d
submit to all statute~, city ordinances, and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
It Is futhe, egreed)!y the undersigned that no othr uses will be made of the above connections except as hereinelter listed.