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Name
of
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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Loi No. ~OCk I Ward
OUTSIDE WORK
Permit N~ 9082
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I Addition or Repl&!
Dalo
NOW 'Ewn WATE' STORM' FEE' FEE' .ElAY ,. 'EWE' WATE' STORM' FEE.
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Cub 10 BuDding Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW REP. U'ED FEES NO. NEW 'EP. U'E. FEE' NO. NEW 'EP. U'E. FEES
- - - - - -
Bath Tub / Vw Garbage Disposals 1ft Calch Basios
-
Wasb Basin :t IJv-O Dishwashers L ¡¿..v Conduclors
- - - -
Waler Closel .:1..- 11. &-() Laundramals / I) e>-CI Gre... Calch Basios
- - -
Sink I h...u Waler Sofleners Sump Pump Be Ejeclors / L
Water Hoalers I Lc--() Sanitary Bubblers Bar end Soda Wasles
Shower Baths Urinals
noor Dr" / jP1J Denial Cuspidors
Laundry Tubs / ¡trC/ Service Sinks
Inspsc:lions Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permil and Inspection Fo..
-:~ZC:-~ $.......l.7.{2_.(),.---~-_._--------------------------. -------.---.----------------Sewer F...
$--------------------------------------.------------.--------------------. ::::::~~~::5~:::; F..s
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~-- .2:fl/..------------Pina1 OK $-----.------------------------------------------------------------------ Dale J/J ?~
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In the performanca of this work the undersigned owner (or his euthorized agent) of said premises end his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulatl.ns prescribed by the Board of Public Works_for the government of Plumbers.
II I. futher agreed by the undersigned that no other use. will be made of the above connections
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