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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N':' 8042
s~:t /¿J65 A//j7-~
------- Number ----------------------------------------------------------------------
I Addilion or a_plat
~ Hame ~~
of
--- --___m---_____---- -- ----------------- Owner ---- -- - - --- ----------------------- --- -- ---------------------------
I Block I Ward
¡ Lot Ho.
DIIIo
OUTSIDE WORK
NEW SEWER WATER STORMS fEES FEES RElAY S. SEWER WATER STORMS FEES
From MaiD to Curb Septic Tanks From Main to Curb
From Curb to BuUdlnø ,y'L /~ b-.. Electric Pumps From Cmb to Building
Repair
INSIDE WORK
NO.
RIP.
NEW
US'"
flES
NO.
NEW
RE'. I USED I "ES
NO.
NEW
REP. I USED
fEES
Bath Tub
GarbagE> DilpooaIs
Catch Bains
Wub BulD
Dishwuh.....
Conduc!ors
Wat... Clooet
Laundram&!l
Grease Catch Basins
SIIIII:
Water Softell.....
Sump Pump" Ejectors
W- Heat...
Sallituy Bubblers
Bar and Soda Wates
8how... Ba!hI
Urilulla
no... Dralwl
LaUDdry Tubs
Delltal Culpidors
Service 5mb
h18~ ~ /" /.. . ValUali- '011 of the Work HerelD Described Fee Verified, Receipted aDd Recorded Received Permit and IlIIpecJioll Fees
-----¿Pf-P'.J-3_____Outaicle $------~--2(d2L.£q---------------- --~--~-~--.sewer Fees
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In the performance of thil work the undersigned owner (or hi. authorized agent) of .ald premise. and his author ired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations preEcribed by the Board of Public Works for the government of Plumbers.
tt Is futher agreod by the underslgnod that no other use. will be made of the above connection. ex.;¡¡¡¡t 8S hereinafter li~.
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