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PLUMBING ~ERMIT - Oshkosh, Vfisconsin Permit N<.? 1539;¿5.
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Lot Bo. Block -1- Ward_. .. . 1'.ddilion or Replat
OUTSIDE WORK
Data
NEW SEW" WATE' STORMS 'EES FEES .ELAY S. SEWE. WATE. STORMS FEES
From Main to Curb Septic Tanks From Main to Curb
~m C...b to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
NO.
'EES
"..
NO.
NEW
REP. I USE.
NEW
'EP.
USE.
REP.
USED
FlES
Bath Tub
Wub Basin Dishwashers
Water Cl...t LaundrlUDalJl
SIDIo:
Water Haate.. Sanituy Bubble..
Shower Baths Urinals
nODI' Drahul Dental Cuspido.. I~-I~+I ~~ - -
I Laundry Tubo Service Sinks I I I I I I
lupactions Valuation of t~~rk Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection F...
_____n_'-f§Vb~;mm_m_Outslde $ .;r *-tJ 7----n__n_m.nmnnnnn.m_Sewer F...
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In the performance of this work the undersigned owner (or his authorized agent) 01 said premise
submit to all statutes. city ordinances. and rule. and regulations prescribed by the Board of .puliffc Works
It I. luther agreed he undersigned that no other use. will be made 01 the above
Garbage Dis~
Catch Basins
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Conducto..
Gre... Catch Basins
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Water Softene..
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Sump Pump 8< Ejectozs
Bar and Soda Wastes
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REFERENCE CARD
PLUMBER _
4......p,. =--- - - - - -_— DATE - -- .___ ----•- — t9 -� PERMIT NO.-- - -•-
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NAME OF OWNER f\-
0 - r'`'2 ;� 1 i= 3 11- . — :aZ
Descri - — and NUMBER _ C J� . 1 �.. \ _ tom 1 C >.
I STREET d —
Pti lot Block Addition Ward
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OUTSIDE WORK
New S. Sewer Wear $forms Relay 5. Sawar Water Storms
From Main to Curb From Main to Curb
From Curb to Bldg. From Curb to Bldg.
Electric Pumps Repair _
Septic Tanks
INSIDE WORK
NEW REP. USED FEES - NEW REP. USED FEES NEW REP. USED FEES
Bath Tub Garbage Disposals _ Catch Basins
Wash Basin Dishwashers Conductors
Water Closet Laundramats Grease Catch Basins
Sink Water Softeners Sump Pump & Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Shower Baths Urinals Range Boilers
Floor Drains Dental Cuspidors _ Future Outlets
Laundry Tubs Service Sinks 1
Inspections i Remarks
o `l-! __ ,a k A? 7!Yi2utside ?" Sewer Fees
Plbg Fees
��a ` U I Inside r)
AT `, /aZ-F - ( t ° Total
Valuation --
Final OK
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