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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8384
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l Lot lIfo. / _m- __I Blook I Ward I Addition or Replat
Date
OUTSIDE WORK
NEW SEWEll WATER STORMS FlES "'S RELAV S. SOWER WATER STORMS FEES
From MaIn 10 Curb Seplio Tanks From Main 10 Curb
From Curb to Building Electrio Pumps From Curb 10 Buildhtg
RapIDr
INSIDE WORK
NO.
NEW
UP. I USED
NEW
REP. I USEO I FEES
NEW
USED
FEES
NO.
REP.
FlES
NO.
BaIb Tub
Carbago DilpooaIs
Caic:b BUÙUI
Wub Buin
Dlshwuh.....
Conductors
-
Water Clooel
Laundrlmll!JJø
Greue Catch BulDs
SIIIk
Water Softeners
11
Sump Pump 8< Ejeclors
/r-G
Water Heat.....
Sanitary Bubblers
Bar and Soda Wastes
Show.. JIaIha
Floor Dralnll
UriDals
Denial Cuspidors
LaUDdry Tubs
IDipectioDi ------_.___--Outslde
~-:::~::::==-=----_.____._iDllde
Se1'Vioe Sinks
Fee VerifiecL Recelpled and Recorded
Received Permit and Inspeo!lon F-
-------.----------Se_r Fees
--j..:.!~---PIbg. F-
._---j~._.------Total
'?"" 9'- ?¿;;--'
Valuation of Ihe Work Herein Described
$--_?_q--~---------------------_._------------------
$--------------------------------------------------
$---------------------------------------------------------
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City Tr....r"
Date
-------_----FiIIaI OK
In the periormsnce of this work tho undersigned owner <Clr his authorized agent) of said premis.s and his authorized Plumber horoby ogroo to be boundon by end
submit to all .tatutos, city ordlnanoos, and rulo. and regulation. prescribed by the Board of Public Works for tho government of Plumbers.
It I. futhor ogreed by the undersigned thot no othor uses will bo made of the above conneell)' 0 ex~ept a. heroi¡<áft. r listed.
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