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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 856
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I Lot Bo. I Im;;;;k I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEW" WATER S'ORMS lEES FEES mAY S. SEWER WATER S'ORMS FEES
F...... MaIn 10 Curb Seplic Tanks From Main 10 Cu.b
Foom Curb 10 BuDding Eleclric Pump. From Curb 10 Buildh1g
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
REP. I USED
FEES
FEES
1<0.
NEW
NEW
REP. I USED
US"
FlES
BaIh Tub
L
/
I
I-
I¡,w
j.rrJ
II. "..0
Ga>bage Dispo8aIs
Catch BulDo
Wub Buin
Dlshwuben
Conduclors
Gre... CBicb BulDo
Laundo-
WBier CI_I
Sink
WBier Sofleners
Sump Pump II< Ejeclors
Wale. HeBle..
Sanitary Bubblers
Ba> and Soda Wasle.
Shower BBIbs
Urinals
noœ DoaiD8
Denial CuspidDrs
-~-
Laundry Tuba
Service Sinks
Inspeclions Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspaellon F-
~=:::::::::=:===::===::=:::==::::=::::::O;.:~: $......7o.f)".~m...mmm..m._....mm.m.... '.:..:.~3.;:;;;:~:::n:~r F:-:
...__.m..f;¡.'Àm.m.__.._...m._._...- $... ...........m....m.m...........m_m..m...............m..... ."'.....'C¡iÿ"r;;;;;ù,.;.......m.....m........ ........3,.~.Tolal
--I~ -Þ-, 'T;7-.._--EiDBI OK . $.000......... 000"'000'."..000..'.'.".'.000."_.' . Dale II.. '9.. .1 7
In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to be bounden by end
.ubmlt to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Wor~s for the government of Plumbers.
=~~=~::~~~i.=~':...::.::..:::.::::...:::.....:.:....m.
It Is futher agreed by the undersigned that no other uses will be made of the above connections ex