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.. PLUMBING PERMIT..,. Oshkosh, Wisconsin Permit N? 8048
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I La! Ho. --I Block I Ward
OUTSIDE WORK
Dù.
[ Addilion or Replat
NEW SEW" WAI" StORMS FEES FEES RElAY S. SEWER WAlEK StORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumpe From Curb to Building
Repair ¡/ I/tþN
INSIDE WORK
NO.
UP.
USEO
NEW
liES
NO.
NEW
REP. I USED
FEES
NO.
NEW
REP.
USED
FEES
Bath Tub
Wuh BulD
Garbage Di8poeaJs
Cùcb BuiDs
Dish..u!>...
Conductor.
W- CIOI8t
LauDdramats
Gre... Cùcb BOliDE
SInk
Wùer Softeners
Sump Pump II< Ejectors
W- Heùers
sanUary Bubblers
Bar and Soda Wutes
Show.. Bùba
Urinals
Floor ÐraiDs
Laundry Tubs
Dental Cuspidors
Service Siliks
IDSpeClloDl Valu.»tion of the Work HerelD Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
-~_._._...--.---OuIside $ P.2"Q ó. f).l) --,;I_................5o..er Fees
-...---..--.---------.-.1nside ..-.-. . .._--- -..--.-.--.---...----- .~.:qiL____'p1bg. Fees
- - -. ';;-~---- $----..--.-.---.---...-..-.--------...---------- --_...A._c1.~.--Tofal
=--Z¿¿~_--FiDaI OK $-------.--------..-...---------.-- _._n______--------""-ëitïŸ,éë¡ù;õ;-----"----'---'--' Date / /::z J /) ~
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribsd by the Board of Public Works for the goyernment of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except es hereina"er listed.
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Plumbtng In_"""
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