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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8439
£) /) II 11 Name '" J -J- Street ~ ÆI Ii
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I Lot No. I Block I Ward I Addition or Replai
OUTSIDE WORK
Date
-
NEW SEWEll WATER STORMS fEE. F.ES RElAY S. "WER WATER .rORMS fEE.
From MaID to Curb Septic Tanks From Main 10 Curb
Ðom Curb to Building Electric Pumps From Curb to Building
Repair ;11~ /J! ()
INSIDE WORK
NO. NEW RIP. U"" FlES NO. NEW REP. U'E' FEE' NO. NEW REP. USED FEES
- - - - -
B8tb Tub GOlbag.. DilponIs Catch Basins
Wub Buill Dilbwuhers Condudo"
- - - - -
Wù... Cloo8t Laundram&!l Gre.... Cùcb Bulns
SIDk Weier Softene.. Sump Pump 81: Ejectors
Water Keùe.. Sanitary Bubblers Bar and Soda Wasles
Shower BùhE Urinals
Floor Ðrmirul Dental Cuspldo..
Laundrr Tubs Service Sinks
Inspections vaiion of the Work Herein Described ,~ V"",," - ... ......, PEr" """".- ... '- "-
---..--..-..---_.---Outslde £'-dó,Où Bv R€s-~.~'4._....sewer Fees
$m.....,2.....-..-...-...-...........-..---.....----- . U..' D')"
~'-~S-"-~Z:: Common CQU" ! ~'.,,-,-~;.~1!Jb!I. Fees
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$-.-.........--.-...---..---.-.-----..-..-
In th.. performance of this work tho undarsigned owner (or his authori.ed agent) of said premises and his authorirad Plumber hereby agree to be bounden by and
submit to ail stalutes, city ordinances, and rules and reguiatlons prescribed by Ihe Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned thai no ..ther uses will be mede of the above connections except os hereinofter listed. _. h ß
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Plumbing Ins_,
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