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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 610
Ø..... . J ,. / /l /l Name ¡}l -I. //7 ~ Street /)
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I Lot No, I Block I Ward I Addilion or Replat
OUTSIDE WORK
v
Dale
-
NIW SEwn WATER STORMS FEES FEES R"AY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
~ID Curb to Building Electric Pumps From Curb 10 Building
Repair
NO.
UP.
FlES
USED
NEW
L
-3
4
i-
f
2
1-
I
~
~'t70
,(t/)
iø /
Bath Tub
Wub BuiD
Waler CI_I
,/
,/
./
1/
ËhQ/::
,~
; ot>
.tJ¡;>
Sink
Waler Heale..
Shower Baths
Floor Dr8Ü18
,/
,/
Laundry Tub8
INSIDE WORK
NO.
NEW
REP. I USED
FEES
NO.
NEW
REP.
USED
FEES
Garbage DiJlpcoa!s
~~-~:
-¡
vi
t--
I, oZJ
Catch BulDo
Disbwuhen
Conduclo"
Laundramaltl
, OZ>
Gre... Calch BulDo
Waler Soften...
L
Sump Pump Be Ejeclors
.-
Sanitary Bubblers
Bar and Soda Wules
Urinals
Denial Cuspidors
Serrice Sinks
Inapeclions Valuaiion of Ihe Work Herein Described Fee Verified, Receipled and Recorded Received Permit and InspectIon Fees
~=~~=1EiJ:~~~=~-.::?~~~ :~:~~~::==:::-:::::~:::::::::~::::--::::::::::~: --------------------------------------.---------------- -. 5:::~::-.:..~~:r F:-:
J É City T,...u,", -- ~ V:
-+-.:þ -'l::f}- :r7-------Elna1 OK -- $----------------------------------------------------------.----- -- Date <f: ,5/ 77
In the performance of this 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 ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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