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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8415
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I Lot No. I Block I Ward I Addi1;on or Replat
OUTSIDE WORK
Dat.
New SEwn WATER STORMS 'EES fE.. RElAY S. SEWER WATER STORMS FEES
From Mam to Curb Septic Tanks From Main t<> Curb
!}em Cub to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. New RIP. USED Nn NO. NEW REP. USE. FEES NO. NEW REP. USE. 'EES
- - -
Batb Tub Garbag" D!opo&a1s Catch Basins
Wub Basm / /.00 Dish"ashers Conductors
Wå... CloRGt I ~ ðO Laundramais Gre.... Catch Bullis
SiBIl: Water Softe"ers Sump Pump 8r Ejeetors
Water H.at... Sanituy Bubblers Bar and Soda Wastes
Sho..... .Batha Urinals
Floor Ðrahas Dental Cuspido..
Lo~ Tubs Service Sinks
IaspoctiollS 1tatiÕ D ~h~ ;ork Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
----mb'-..:;:7"""____Outside $___1_____000---------------------------000-----'--' ---ooo--------.-----.so"e. Fees
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-------------FIDal OK $------____-_000______--------------------------------------- .----------'-'-----------c;iÿ-Ÿ;;;;'-û;;;;------'-----------'- Date ~// / /?~
In the performance of this work tha undarsigned owner (or his authorized agent) of said premise. and hi. authorized Plumber hereby agrea to be bounden by and
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 that no other uses will be made of the above connections except as hereinafter listed.
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Plumbing Ino_,
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