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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8700
itw Æ Kame ~ ~~ Street / ~
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.-.--". -"~~- ~---_._-".__._----- Owner _m._-. n._. .fJ/):I.JM2_~...ll --. -z...JL¿- Number ---n- ,...:l3n.n.-.d_-'l..tLL .~---
LLot Ko. I Block I Ward I AddiXion or Replat
OUTSIDE WORK
Date
Naw SIWEa WAtER STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
From MaiD to Curb f-IJ l-/j (J f;-tJ:JD Septic Tanks From Main to Curb
From Curb to Bulldln¡ Electric Pump¡ From Curb to Building
Repair
INSIDE WORK
NO. NEW UP- USED FRES NO. NEW REP- USED FEES NO- NEW REP. USED FlES
Bath Tub I j,ÓD Garbage DilpooaIs 1- j,o() Catch Bulns
Wuh BuiD _1 g,¿>Q Dilbwuhen ¡,too Conductor.
7 - - - -
Wu... CI_t '-::; '?, cD Laundrmnat& I/A4) Grease Catch Bow
Sbsk / t. O{) Water Softeners Sump Pump 8< Ejectors I /,(;ï~
Water Heaten I I,DO Saniiuy Bubblers Bar and Soda Wastes
Show... Batba I J"O6 UriD8Ia
FlO<I% ÐrIOlaa / j..Ck Demel Cuspidors
LatIDdry Tubo Service SiDb
~:~M.Æ¡2:r::_. -----Outalde õ}uation of the Work HereiD Described Fee VerifiecL Receipted and Recorded Ryived Permit and Inspection Fees
- -:> 00
~~"'-~r¡~~---~::~ $ .~~3::'. Q.6..L_c?lL_.____----.-----.... "'-y?;--¿j¿y._..sewer Fees
$--..----------.----...--------------.----...---------- ;-...----.-----'pIbg, Fee.
$..-.-....---...----..--.-...-------.--...--.---.----..---- ---"'--"'----"'--"'-ë'I¡Ÿ-Ý;;;;'-;;~;-----'---""--"-- D:.:¿fíjß:J-r;a1
in the performance of this work tho undarsigned owner (or hi. authorized ag.",!) of ..id premis.. and hi. outho.-ized Plumber hereby agree to be bounden by end
submit to all sta!utes, city ordinances, and rules and regulation. pre.cribed by the Boo,d of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other use. will b. made of the above <onnections ."copt as herein.fter Ii.ted.
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Plumbl.. In.pector
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