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;,,;, PLUM_BING PERMI"'; :- Oshk~sh, Wisconsin Permit N~ 8049 .
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I LœRo. -~ I Ward
OUTSIDE WORK
Date
I Addition or Raplat
NIW SEWEI WATEI STORMS FEES fEES RELAY S. SEWER WATER STORMS FEES
Fzom MaiD to Curb Septic Tanks From Mein to Curb
!'10m Curb to Builc1lng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NIW UP. USED FlES NO. NEW "P. USED FEES NO. NEW REP. USED fEES
Bùb Tub aarbage DispoaR!l CUCb B""iDs
Wuh Basin J /,ðO Dishwashers Conductors
- - -
Wat... Cl_1 / ¡, (JÓ LaundramatJI Grease Catch BolDs
BIIIk Water Softeners Sump Pump Ik Ejeclors
W- Heaters Sanitary Bubble.. Bar and Soda Walles
8h"w.. Bùbs Urinals
Floor DrmIDs Dental Cuspidors
LaW1dry Tubs Servlca Sinks
Iaspections val1on_of Ihe Work Herein Described Fee Verified. Recelpled and Recorded Received Permit and Inspection Fees
-----..--.-.------.-OuIside $- .._",'..1(2/)/..."(1.0..",_......_---_....",--- -Tii::--;:;-;:,_......sewer Fees
-..--.---....-.......___-.-Inslde Jf.....-...--.-Plbg. Fees
$-.--- ...---" ..-..-...--.--" ---..-...-...".-.-
JZ1J1~..- ~~-;;; $--.......-..-.--...--..---..--- -'-""""""""'-"CliŸ.t;;;¡;~;;;..__...._....--",_. D~:'~~~;/15"
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 futkor agreed by the undersigned that no other uses will bo mede of the above connoctions except as hereinafter listed.
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Plumbing Ino_,
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