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PLUMBING PERMIT - Oshkosh, ~isconsin Permit N? 8127
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I Lot No. I Block I Ward I Addi;ion or Repla! --
OUTSIDE WORK
Date
NEW SEWIIII WATER STORMS 'EES 'EES RElAY S. SEW'. WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
~m c....b to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
-
NO. NEW REP. USED FIlS NO. ",W .'P. USE. FEES NO. NEW REP. USED ,...
Bath Tub Garbage DiopoaaIo Catch Basins
Wash Bum / ff},bO Dlshw...h.... Conductors
1- - - - -
Wat. C~t / tOll Laundr- Grellle ClÚch B...ins
Siak Water Softeners Sump Pump 8< Ejectors
Water H_n / Iou Sanitary Bubblers Bar and Soda Wastes
Show. Baths Urinals
no.... ~811111 Denial Cuspidors
Laundry Tube Serrice SiDb
Inspections l~~Q- Q~:~; -~:~:_:~::_~:::_:: Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
~7~ _OO1l-------------_.oooo&Wer Fees
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Date;¿ ':<¡{ / ?!J
In th.. performenc.. of this work the undersigned owner (or hi. euthorbed agent) of said premises and hi. authori.ed Plumber hereby agree to b. bounden by and
submit to all statutes, city ordinances, and rul.. end regulations prescribed by the Board of .fobnc Works for the governm~t of Plumbers.
It Is futher egresd by the undersigned that no other uses will b. made of the above <.""eclions except as hereinafterA!'.ted.
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