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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8483
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I Lot No. I Block I Ward I Addi!ion or Replal
OUTSIDE WORK
DIIå
NEW SEWEll WATER STORMS FEES FEES RElAY S. SEWE. WATE' STORMS FEES
From MaiD to Curb Septic Tanks From Main to Curb
From ClUb to BuI1cIing Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW REP. USED FEE. NO. NEW REP. USED ms No. NEW REP. USED fEES
-
Bath Tub .2. Garbage DispooaIs Cùclt Baslos
Wub Bum "1 Dlshwasbers Conductors
- - -
Wilt... CI"""t ,). Laundr_ .;l Grease Catch Bulos
SbIk '" Water Softeners Sump Pump 8< Eisctors /
Wllår HHie.. -1 Sanitary Bubblers Bar and Soda Wastes
Sho....., Baths UrirIaIs
FI...,. Dr8Iu .;I., Dental Cuspidors
Laundry TubIS Service Sinks
-~ Valuation of the Work Herein Described Faa Verified, Receipted and Recorded Received Permit and Inspection Fees
-- - --__~__Outside $-~~Q.t!..:_.~--_._-------------------- ._----------..-..se..er Fees
___m7l11!f ~Jzii?,,"ide --_..&_~-_P1bg. Fees
--.llÍ~ 1 :.25-- $--...---- ______m__.'__'------""------- mm_-'---- _._.-...L~~ Total
--4Þ4.F:-'--FiDaI OK $.-.-.-....---.-.---...-.-.-_.___.m..__._-..--.--- _m--__.._... ---"'-"Cliÿ-ÿrëã, ~;ë; --..-----.---- Date ?, ,;¿;¿ - 7..s -"-
In the performance of this work the undersigned owner (or his authorized agent) of said premises and I1is authorized Plumber hereby agree to be bounden by and
submit to ail statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher .greed by the undersigned th.t no other uses will be made of the above connections except as herein.ftar listed.
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