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PLUMBING PERMIT - Oshkosh, Wisconsin perm~~.. 91
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I Lol No. I Block I Ward
OUTSIDE WORK
Hame
ot
Plumber
I Addilion or Replat
Date
NEW SEWD WATER STORMS FE" FEES RELAY S. SEWER WATER STORMS FEES
From Mala to Curb Septic Tanks From Main to Curb
nom ClUb to BuUcllng fL-/r -, j"'~}> \¡ 9': 00
U. Electric Pumps From ClUb to Building
Repair
INSIDE WORK
110. NEW RE.. USED FE" NO. NEW RE.. USED FEES "O. "EW RE.. USED FE"
- -
Bath Tub Garbage DilpooalI 1- Catch BUÚII
-
Wub Buln Dilbwuhen Conductor.
1- - - - -
Watø CIOHt Laundramata Gre... Catch BulAa
f--
SIrIk Water Softeners Sump Pump Ik Ejectors
Watø Heaten Sanüary Bubblers Bar and Soda Wute.
Shower Baths Urinals
noor DraIAa Dental Cuspidon
- - -
Laundry Tube SerYice Sinks
Inspections V~ion ~e Work Herein Described Fee Verified. Receipted and Recorded Received PÕmit and Inspection F...
--............-..-..-...-......--........Oullide ~"j - c}b ...~.~....Sewer Fees
$....-.....................................................................- #'~.~ .......PIbg. Fees
.-...........-..............-.-.....................Inside
-"-3'#-Z.z:::=::-"-";~~; $..........................................................................-
$..................................................-..........-.....-- ."'.""""'.""""""Ô¡;¡Ÿ;;;;;.;;ö;.......................... D~¡:-;)~¡;¡?o;
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 prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agread by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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