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PLUMBING PERMIT:- Oshkosh, Wisconsin Permit N~ 952
Jf..... rß ' I!/dri Name #. ~' -' Street ,.-1'" /
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Plumber. .- -~-----. . --- nn____nn-__nm___nnnn-- Owner ___m_- __n_m ._____mm __n_- _m__m__mn"_n__n---_____nn_n___---nnn---n Number dn~Õnn~n_~.nn_n---nn___nn_-
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OUTSIDE WORK
DIIi.
I Addition or Replat
NEW SEW" WATER STORMS FE" FEES RELAY S. SEWER WATER STORMS FE"
From MelD to Curb Septic Tanks From Main to Curb
From Curb to Bulldlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED ".. NO, NEW REP. USED FE" NO, NEW REP, USED FE"
~Ol) - - -
i B8ib Tub ,/' /. CJD, I Garbage Dilposah /' Catch Basins
~ Wuh Basin ,/ 2,ov / Dishwashers ./ too Conductors
- - - -
~ Wilier CI_t ./ !::UW I Laundram8iø / l/ov Greue Cllich Basins
-
L Sink ../' ! I, tft) Wilier Softeners / Sump Pump II< Ejectors ,/" /'ot
I Water Helliers /' I,ot; Sanitary Bubblers Bar and Soda Wastea
Shower B8ihø Urinala
I l-- 1--
Floor DRains ./ lioW Dental Cuspidors
-
Laundry Tubs Service Sino
Inspections Valuation of the ork Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
-----------nn------_n----_m_----_n___nOutøide "n> ----nmnnmmm_m--Sewer Fees
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$_____m____n--_____-----______n____n--__-_---_-_._--n-----.----- Date 1.:2.~(7.7:
.. .. .. ... .. . -.
lubmlt 10 all Itatutes, city ordlnancel, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
he undersigned that no other U50S will be made of the above connections