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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1210 ~
I J jJ Name /) (), 'L / Street / } ~' Þ::
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I Block I Word I Addilion or Replat
Name
01
P1UJllber
l Lot No.
Dato
OUTSIDE WORK
NEW SSWD WATER STORMS FlES FEES RELAY S. SEWER WATER STORMS FlES
From Mún to Curb Seplic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW REP. USIO FlES NO. NEW REP. USED FEES NO. NEW REP. USED FlES
1 '/ -
~Tub l!!!- Garbage DilpotIO1s Catch Basins
- -
-3 Wub Basin ./ 11. (j'D / Dilhwashero ./ i.o-o Conducto..
1- - - -
-.3 Water C_t ¡/ 3/)0 / Laundramats /' ¡.o-o Gre... Catch Basins
f--
1- SIDk .,/ 1,0-0 Water Softene.. I Sump Pump 8< Ejecto.. ./ II. ¿¡è)
I Water Hoaton v 1.0-0 Sanitary Bubble.. Bar and Soda Wastes
/ Shower Botha ¡/ i.bV Urino1a
-
/ Floor Drolu ./ /. di> Dontal Culpidon
I- -
I Laundry Tubø ;/ I. tRJ Service Sinks
Inøpoctionø Valuation of the Work Horein Delcribed Fee Vorlfied. Receipted and Rocorded Recoived Pormit and Inlpeelion Foes
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-_/..5=-~-"'--_Plbg. Fool
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In tho performanco of thi. work tho undersigned owner (or hi. authorized agent) of laid premi.es and his authorized Plumber hereby agree to be bounden by end
submit to all .tatutes. city ordinance.. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
undersigned that no other uses will be made of the above connedions except'ÕÕ~nalt.r listed.
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