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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 387
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\ Block \ Ward
~
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of
Pl1Imber
I Addition or Rel'lat
NEW SEwn WATER STORMS FlES FEES RElAY S. SEWE' WATE' STORMS FEES
From Me1D to Curb Septic Tanks From Main to Curb
From Curb to BuUcllng Electric Pumps From Curb to Building
Repair
l Lot No.
Date
OUTSIDE WORK
)
INSIDE WORK
, =
.
NO. NEW .... USED FlES NO. NEW 'E.. USEO FEES NO. NEW RE.. USED FEES
v' - - -
"V' ,Bath Tub (,Oð Garbage Dilpooa1I Catch BulDs
F ,/ ~ø -
Wuh Buin Dlshwuhen - Conductors
- - -
..,r WlI1er Cl...t ,/ Itpv I Laundrema18 ../' ¡,a Gr- ClI1ch BulDs
~ SIDk / I.¿¡!) WlI1er Softeners Sump Pump &: Ejectors
WlI18r Hell1ers Sanitary Bubblers Bar and Soda Was!es
Shower Baths Urinail
-
F1oor Dr8lu Dental Cuspidors
-
Laundry Tubs Service Sinks
Inspedions : aj~@Z-_:r:- _::r_:: - ::::_=: Fee Verified. Receipted and Recorded Receiyed Permit and Inspection Fees
--------------------------------------------___--Outside ---------------__---Sewer Fees
---ooo-----------------------------------------___---Inside _£9<?----_Plbg. Fees
------------------------------------------- $--------------------------------------__--___000--------- --.s;._o..t?______Total
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--------------------------------FiDal OK $--- --------------------------------------------------------- Date 6, ~¿/7 /'
I
I
In the performance of this work the undersigned owner (or hiE authorized agent) of said premises and his authorized 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 of Plumbers.
It Is futher agreed by the undersigned that no oth.... uses will be made of the above connections except as hereindter listed.
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