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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<?' 157
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Ll.ot Bo. I Block I Ward Addüion or Replat
OUTSIDE WORK
Date
NIW SIWD WATER STORMS FEES fEES RELAY S. SEW'. WATE. STORMS ....
F- Mala to Curb Septic Tanks From Main to Curb
Fmm Curb to BuUdlnll ;./ /( {!/ ¡"C ~ Electric Pumpa From Curb to Building
Repair
INSIDE WORK
NO.
UP. I USID I FI'S I NO.
R'P.
NEW
N.W
RIP. I USEO
FEES
NO.
NIW
US'D
...S
Be1b Tub
Garbage D1apooab
CIdch Bulns
Wub Buin
D1abwuhen
Conductors
Water C*et
SI:ak
-,-
Laundramab
Greue Catch Basins
I--
Water Softeners
Sump Pump" Ejectors
Water Heate..
Sanitary Bubblers
Bar and Soda Wutes
Show.. Baths
Urina1s
Floor DraIDs
Dental Cuspidors
Laundry Tubo
Inspections \
s.,¡,~.....:L\ ~'!,-.Q-\:1.1... ........ Outside
..........................--.....-...........-.-.....Inside
SerYice Sinks
Valuation of the Work Herein Described
$...r2:s2:C2.,.~..................._...................
Fee Verified, Receipted and Recorded
Recel~ P~i1 and Inspection F-
.............:..............Sewer F-
..........¿...~...Plbg. Fees
.........{L.~....Total
Date "T- Ie¡ 17
.
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In the performance of this work the undersigned owner (er his authorized agont) ef said premIses and his authorlred Plumbor hereby agrae to ba bounden by and
submit to all statutes, city ordinances, and rules and regulations proscribed by the Boord of Public Werks for the governmont of Plumbers.
It Is futher agreed by the undersigned that ne ether uses will be mode of the ebove connectiens except os hereinafter listed.
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