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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? ~97
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Dat.
NIW SIWEI WATER 'TORM' FII. '""' .IIAY .. '"W". WATER STORMS FlI.
From MaIn to Curb Septic Tanks From Main to Curb
~ Curb to Building WI, ;7./ J 1;) II ftn:J Electric PumPA From Curb 10 Building
I
Repair
INSIDE WORK
110. NEW RI.. USEO ..IS NO. NIW .1'. USED FI.. NO. NIW .1.. USED FlI.
- ~ ~ -
Bath Tub - Gubage DiIpo&ak Catch Basins
~ -
Wuh Basin Dishwashers ~ Conduclors
~ - ~ -
Water CI_t LaundrllDUlÙ Gre... Catch Basins
-
Sink Water Softeners Sump Pump" Ejeclors
Water H.at... Sanitary Bubblers Bu and Soda Waste.
Shower Baths UriDa1s
- -.
Floor DraIDa Dental Cuspidors :-
Laundry Tubo Service Sinks
IDlpsdiolUl Valuation of th~rk Herein Described Fee Verified. Receipled and Recorded Receiy~p~it and Inspection F...
...-............-..-..-....-......................Oullide $....~.Q..cJ....~............................_.._................ .:::::::.z'::~~:::::~r F:-:
..........................-.......-..........._........Inside
$...........................................-..............................- ..........6"'~...",~ Total
-..-.-..-..-...-.....-........-.-............-..-.- ................... ""Óîÿ'T;"~;;';"""""""""""""
---..---.--.-.-...-..--1'iDa1 OK $..................................................-...........-....-.... Date I ¿J . cJ.f '7 7
In the performance of this work the undersigned owner (or his authorired agent) of said premIses and his authorired Plumber hereby agree to be bounden by ond
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 thet no other uses will be mede of the above connections except as hereinalter listed.
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