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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8301
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.\ Lot No, I Block I Ward I Addition or Replat-
OUTSIDE WORK
Dafe
NEW SEW.. WATER STORMS FEES FOOS RELAY S. SEWER WATER STORMS FEES
From :MaIn to Curb Septic Tanks From Main to Curb
Fmn Curb to Building /fß ('ß j/(-.X1J) f-ß() Eleclric Pumps From Curb 10 Building
./ Repair
INSIDE WORK
110, NEW RIP. USD flES NO. NEW "P. USED "OS NO. NEW .EP, USED FEES
~ -
B8th Tub ,?,.O& Gubage Diøpocak Cafcb Basins
9-. / LI"òõ -
Wash Buin l,oò Dishwuh.... Conductors
/ - - V"M -
Waf.... Closet :2 :J¡öC:J Laundr- Gre.... Catch Basins
I / I-:------
SIù !"iy) Water Softeners Sump Pump 81: Ejectors þd
Wafer Hest..... / þOõ Sanitary Bubblers Bar and Soda Wastes
Show. Baths Urbulls
I '¡AJÓ f----
Fl- DraIDs Dental Cuspidors
Laundry Tubs Sem... Sinks
~~?;_...____Outslde V~ion of Ibe Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
'Xi:? DO f> () D -----7----l._fll..s..wer Fees
----$ '.1-?- ,.....- ----____Inside $------:1--...----.-------...---...---------..---- $,(10
--:¿:-------Plbø, Fees
--g1ZkI.:i?_---- - Final 0; $.-------------------------------------------.------- .-- -~-!2ß---Total
$---------..-------------------------------------..- ----------"'------'--cI;Ÿ-irn'-û,ê;------------"---- Date $'"-f- 7.s-
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In th.. performance of this work the undersigned owner (er his authori..d agent) of ssid premises and his authorized Plun1ber hereby agree to be bounden by and
submit to all slotules, city ordinances, and rules and regulalions prescribed by Iho Board of Public Works fer Ihe govemmonl of Plumbers.
It Is futher agreed by Ihe undersigned that no <>Iher uses will be mode of Ihe above connections e-.pl .s
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- - PlumbIng Ino_,
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