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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 816
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I Lot No. Block I Ward I Addition or Replat
OUTSIDE WORK
Dale
NEW SEWEI WAVER STORMS FEES FEES RELAY S. SEWER WAVER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDdlng Eleclric Pumps From Curb 10 Buildlng
Repair
INSIDE WORK
NO.
NEW
REP.
FEES
NO.
NEW
REP. I USED
FEES
NO.
USED
RES
NEW
REP.
USED
BaIh Tub
Garbage DII~
Calch BuIDs
Wub Buin
DlIbwuben
Conduclors
Walar Cl_1
Sink 1/~
I
Waler Heal...
Laundramala
f--
Graue Caleb Buw
¡
¡vt/
Waler Sofleners
Sump Pump II: Ejectors
Sanitary Bubble..
Bar and Soda Wotes
ShowerBaIhs
Urinals
F1oor Dralu
Denial Cuspido..
Leundry Tubs
I~~~=::=:::::~~=:::::==::::=~~:
Service Sinko
Valuation of Ibe Work Herein Described
$--- .../~_____~-----------------------------_...._---
Fee Verified. Receipled and Recorded
Received Permit and Inspecllon Fees
---------..-------------..-.Sewer F-
Ir b-z;'
....-.:.---......------.....Plbg. F..s
..--....L...::':'!..--Tolal
Dale LL- 7- '7;7
e
.............------.....--..........................
---------.--..-..---F1na1 OK
CIty T'H"'"
$..------------.---------....---..--.....-------------..---..-----
In the performlnce of this work the undersigned owner (or his luthorired egent) of slid premises Ind his author ired Plumb.;r hereby Igree to be bounden by end
submit to III stltutes, city ordinlnces, Ind rules and regulltions prescribed by the Boud of Public Works for the government of Plumbers.
It Is futher Igreed by the undersigned thlt no other uses will be made of the Ibove connections except IS hereinafter listed.
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--7-~ Plumbln9Ino_, -p.£3 "--..
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