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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8297
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I LotBo. --I Block I Ward I Addilion or Replat
OUTSIDE WORK
Date
NIW SEWEll WAI... STORMS FEES "'S 'ELAY S. .EWE. WAlE. STORMS FEES
From MaiD to Curb Sepllc Tanks From Main to Curb
!'zom Cub 10 BuUcIJng fJ.J/ P-I: 1/1 f# 1!l ~ Electric Pumps From Curb to Building
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Repair
INSIDE WORK
NO. NEW RIP. USED fI.. NO. NEW 'EP. USE. "ES "0. NEW .EP- USE. FEES
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lIaIh Tub ),0(\ Garbage DiøpoEa1o Calch Bulu
/ /.O'ð -
Wuh Buin ~ :J J 1)1 Dlshwuhers Conducto..
- - - -
Water CI_t 1"-. ;1, rj, Laundramall / );0/} Gr..... Calch Basins
SiIIk I j.J"Oð Water Softe"e.. Sump Pump 8< Ejectors / /"iI(
Walor Hoato.. / ), ,ilj sonUazy Bubblers Bar and Soda Wastes
Shower Baths Urinals
Floor Dr8lD8 / þCj Dental Cuspidors
LaUDCloy Tubo Service Sinks
I"'~/~~r--' . V¡aliOn of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Foes
--------_l-_~-Q.._-_Se."er Foes
-----;Z7lZ-- 7- g._._--_Ou~'de $-_:--t571!2--,--=-- -------------------- I ¡J.,o 0
~~-_:2___--Ins1do $------------------------------------- -lI----;----_JIbg. Foes
--.2 -Lf/;lJÝ ;1na1 0; --~.iL_.:!._~-- Total
$----------______00---_____------------------ ------------------ë-,iÿ-ÿ,ëð,ü;e;-----oo_---------- $-<7.7,s --'
Date
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In the portormance of this work the undarsigned owner (or his authorized agenl) of said premis.s and his authorized Plumber hereby agree to be bounden by end
submit to all stalutas, city ordinancas, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned that no other uses will be made of the above co"n~c:qxc~P~;-~~oo_-----------------
/-~- Plumbo,
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