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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 125
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I Lot No. I Block I Ward Addition or Replat
OUTSIDE WORK
Date
NEW S.WEI WAtER STORMS FE" FEES R..AY S- SEWER WA'.R STORMS FE"
From MaIn to Curb Seplic Tanks From Main to Curb
F1rom Curb to BuDding I ~.p (Yj ¡$í!- ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
, NO.
NO. NEW UP. USID FlES NO. NEW REP. USEO FEES NEW REP. USED FEES
-
Beth Tub Garbage D~ Catch Basins
-
Wub Basin Dllhwashen - Conductors
- - -
WatH CI_t Laundramats Grease Catch Basins
-
Sink WatDr Softeners Sump Pump II< Ejectors
Waier Heaters Sanitary Bubblers Bar and Soda Wastes
8howH Baths Urinals
noor Drains Dental Cuspidors 1-
Laundry Tuba Serrice Sinks
I1I8peclions Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permü and Inspection F-
---------------------------------m_----------Ouþlde $----~¿¿--~-~-------------------------------------------- --------.;J-'~----Sewer F-
----------------------------------------------------------11181de --------Þ--_!1_k"----PIbg. Fees
$-------------------------------------------------------------------------- -------¥----<2Z1_Total
----------------------------------------------------- -------------------------ëlîÿ-ÿ;;;a;~;ë;--------------------------
-----------------------F1naI OK $----------------------------------------------------------------------- Date qI'. S'. 7 '7
In the performance of this work the undersigned owner (or his authorized agent) of said premis.. 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.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed.
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