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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 644
H..... /J Þ - /J Hame Slreel..
p~ ~~~---- o::'er ~----~--------------------------------- H~':ber 12£l::_$3-------72f~ß-I.----
I B]ock I Ward
I Lot Ho.
1- ~clclilion or Rel']at
Date
OUTSIDE WORK
NEW JEWEl WATER STORMS FEES "ES I..AY S. SEWE. WATEI STORMS FIlS
From MaID 10 Curb ..¡ 11/7/ 4>"" Seplic Tanks From Main 10 Curb
FNm Curb 10 BuDdlng '¡ 1'Iy" E]eclric Pumps From Curb 10 BuUding
Repair
INSIDE WORK
NO.
NEW
u..
USED
"ES
NO.
NEW
IEP. I USED
FEE,
NO.
NEW
IE.. I USED
...S
Bath Tub
Garbage Dlsposalo
Catch BuiDs
Wub Buin
Dlsbwuben
I~-'~
Conduclon
Wale C]_I
Laundramals
Grease Catcb Bulns
I--
SIJIk
Water Softene..
Sump Pump 8< Ejeclo..
Water Heaten
Sanitary Bubblen
Bar and Soda Wasles
8howNBaIhs
Urinals
noar DralJla
Denial Cuspidon
Laundry Tubs
~~_::_------------..._-------_____Oullide
Serriee Sinks
Valuation of Ibe Work Herein Described
Fee Verified. Receipled and Recorded
....._..._-------------------------------------Inside
$-
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-----------------.----------------------------
City T,..",..
Received Permit and Inspecllon F-
---,5'_PP-----_---_Sewer Fees
---Ù_PP---------PIbg. Fees
---___<.j¡__flP.-__-.--Tola]
Dale 9/7/77
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In the performance 01 this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby agree tò be bounden by and
submit to all statutes. city ordinances, and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
It is luther agreed by the undersigned that no other uses will be mede of the above connections except as hereinalter listed.
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