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Date
N-
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8832
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LJI'~'_-- I Block I Ward I Addition or RepllU.
OUTSIDE WORK
NEW SIW" WAIER STORMS FEOS fEES RI'AY S. ...". WATER STORMS FEES
From MaiD to Cl.!:tb Septic Tanks From Main to Curb
From Clwb to Bllilcllnø Electric Pumps From Curb to Bnilcllng
Repair
INSIDE WORK
NO. NEW REP. USED fl!OS NO. NEW RI.. USE. "ES NO. NEW REP. USE. 'EES
-
Bath Tub Garbage Dispo!!<l]s Catch 13..1""
1- -
Wuh BasiD Disbwasbers Conductor.
1- - -
Wat- CI_t LaundzlUURts Gr- Cate!> Basins
Sink Water Softene.. Sump Pump &: Ejectors
Water Heate.. V /dV Saniiary Bubblers Bar and Soda Wastes
Show.. .Baths UrlDi>ls
Floor DrelD& Dental Cuspidors
Leundzy Tubs Service SÙlks
Ja.spect!oa.s Valuation of the Work HereiD Described Fee Verified. Receipted and Recorded Received Permit and Inspection F-
--.------------------Outside $------..;;?s..Q--::--_9?._D.-.----..--.----- ----------...------Sewer F-
-...----------------------.Ins!de -L-E.~-PJbg. Fee.
~l-B... ~iDalO; $-.----......-..-.--.-....-....-.-...-..-..---.-..-...- & """
$--..-------...-.-.----...--.-.-.---.-- '------'-"-""-""-'ë-'¡:¡T;;'~i~;ë;----"-----'-- D~~"'/:;:~-;þ 5
In the performenee of this work the undersigned owner (or his authorized agent) of said preml.es and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordlnenees, end rul.. and reguletlons prescribed by the Boord of Public Works for the goyerumant of Plumbers.
It Is futher agreed by the undersigned that no other usos will be made of the above connections except as hereinafter listed.
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Plumbtng In'pecIOr 07
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