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PLUMBING PERMIT - Oshkosh, Wisconsin Parmi! N~ 1508 ¿
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I Lot Bo. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Date
NEW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Cub ,.,...-- vJ,t4 I Seplic Tanks From Main 10 Curb
0./"' AI' -,,~
From Cub 10 BWlding Electric Pumpo From Cub 10 BuUdhtg
Repair
INSIDE WORK
NO.
NEW
RIP.
NO.
NEW
REP. I U'E.
NO.
'EE'
NEW
RIP.
USE.
'EES
USED
RES
Bath Tub
Garbage Dis~
Catcb Basins
Wash Basin
Dishwasbers
Conduclors
WatN CIOlOI
Laundramats
Groasa Catch Basins
r-
Sbsk
Water Softeners
Sump Pump 8< Ejeclors
Water Heaten
Sanliary Bubblers
Bar and Soda Wasles
ShOWN Baths
Urirlals
Floor Dralu
Laundry Tube
Denial Cuspidon
Service Sinks
IDSpoc:Iions Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspocllon Foes
§~~~ ~~~~==-==-~ -- -,"~- ~~~,:::
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agr~e to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
It is futher agreed by tl o, undersigned that no other uses will be made of the above connections except as her in It.r listed.
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