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PLUMBING PERMIT - Oshkosh, Wisconsin
Permit
N~
9947
H-
ot
Plumber
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I Block I Ward
:~i.r -_/_~J~------~-/
Due
l Lot Ho.
--
I Addition or Replat
OUTSIDE WORK
NSW SEWEll WATER STORMS fEES FEES RELAY S. SEWER WAT" StORMS FEES
From MaIn 10 CUl'b Septic Tanks From Main 10 Curb
FJom CUl'b 10 BuDding Elecuic Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW ..,. USED nES NO. NEW RE,. USED FEES NO. NEW RE,. USED FEES
~ ~ - ~
_Tub ~ Garbage DiopDea1s Catch Basins
- ~
Wuh Basin Dlshwashen Conduclors
,~ - ~ - ~
Water CI_I LaundrlUl1llÙ Grease Catch Basins
/ /...G'{ ¡-
Sink Water Softeners Sump Pump Be Ejeclors
Wuer Heaters Sanitary Bubblers Bar and Soda Wasles
Shower Baths Urinals
Floor Drains Denial Cuspidors
~
Laundry Tubs Service Sinks
Inspeclions ~alualion of Ihe Work Herein Described Fee Verified. Recelpled and Recorded Received Perml! and Inspeclion Fees
---- - ---- ------ ---- --- -------. -- - - -- Oulslde $-~O:_t:;;.-'-______h______--------------' .----_m_-__h__m-SeWer F-
'------------------------------h--.---_-_--Inside -i/..-II_OiJ-PIbg. Fees
~~~íjirt~~;:;.¡...~; $_0.__0._-- ------ ------- ----_0._0.- --------------_0.__' - - ---/>-P-t2-_Tolal
$- ___m______h_- - --- - ------ - -- - --- ---- ----.---- -----------Ò¡;ïT~~;;~;;;-______h____-_----- Date ;L//p.77
In the performance of thi. work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinance.. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. futher agreed by the undersigned that no other uses will be made of the above connection~"xcept as herei!1l"er listed.
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