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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1785
i / Hame /7/) 1/ ' Street /'1 12.
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I Lot No. I Block I Ward J Addition or Replot
OUTSIDE WORK
Date
NEW SlWEa WATER STORMS 'EES fEES RELAY S. SEWER WATER STORMS fEES
From MaID to CW'b Septic Tanks From Main to Curb
From CW'b to BuDding Eleclric Pumps From CW'b to BundIDg
Repair
INSIDE WORK
110. NEW UP. USIO "ES NO. NEW REP. USEO fEES NO. NEW REP. USEO fEES
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Bath Tub Gerbage DÏI~ Catoh Basins
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Wash Basin Dishwashers Conduclors
- - ~ - ~
Wat.. Clooet Laundramats Grease Catch Basins
-
-L Sink 0/' ¡r- Water Softeners Sump Pump 8c Ejectors
Water Heate.. Sanitary Bubblers Bar and Soda Wastes
Sho.... Baths Urinals
Floor Dr8lna Dental Cuspido..
Leundry Tubo Servioe Sinks
Inapectio,," J Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe..
-................-....................................Oubide $':;'QÇ2.~................................................. ............................8ower Fees
........._...............................................In.lde j :.:::::Z~~::::::; Fee.
-.....-.-..............-.-...........-.......-..-.- $...........................................-.............................-
-...-...---....-.........--Final OK $..-..................-....... ....................-..................- """"""""""""'C¡¡;¡Tr..,õ,¡;;""""""""""""" Date / 0/7/?¡;/
In the performance of this work the undersigned owner (or hi. authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations proscribed by tha Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will b. mede of the above connections
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