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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 812
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Dale I Lot No. I Block I Ward I AddUion or Replat
OUTSIDE WORK
NEW SEwn WAtER STORMS FEES FEES RELAY S. SEWER WAtER STORMS lEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuUdlng ~ c....---- C¡;C{?) Eleclric Pump" From Curb to Building
Repair
INSIDE WORK
110. NEW UP. USED FI.. NO. NEW REP. USED lEES NO. NEW REP. USED FEES
- - - -
Betb Tub Gubage Dia~ Catch BulDs
1- - -
Wuh Buin Diahwashen Conducto..
- - - - -
WaiN CIONt LaundrlSlDalR Greue Calch BulDs
-
SIDk Water Softene.. Sump Pump III: Ejectors
Wilier Heate.. Saniluy Bubblers Bu and Soda Wastes
ShOWN Baths Urinela
noor DraIDa Dental Cuspidors
-
Leundzy TubR Service Sinko
InspectiDns Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection F-
----.-------------------------------__..Oulside $--- ._2_pgLl--C!.___------------------------..--- ---..;;2-,-çtt¿---_---Sawer Fees
.-----------------------.---------------.--___------Inside _::~~:::::::~: F..s
=---?14l-7:7--------;~---~ $----------------.---------------.--------------.---------------.----.----
$--.-------------.-------------..---------------------------------.----- ------- ------- --'--'-ëí;:;-T;~;.-;;ë;-'------'---------"----' Dale /0/3/ h7
I~ the 'performsnc~ of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agr.. tóbe 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.
I! Is futher agreed by thJl undersigned that no other u..s will be made of the above connection.!. except as hereinafter listed.
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