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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8740
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I Lot No. I Block I Ward I~Addiiion or Repl..
OUTSIDE WORK
Dat.
NEW SOWER WATER STORMS lEES lEES RElAY S. SEWER WATER STORMS lEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
From Curb to BuUdInø Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
RIP.
USIIO
'EOS
NO.
"EW
REI. I USEO
lEES
NO.
NEW
REP.
USEO
fEES
Bath Tub
Gorbage DÏ8pc!Mls
Caich Bu!nB
Wash BulD
I-
Dlshwub....
Conduclors
-,-
Wat. CI"""t
Laundramebl
Gre.... Calch Basins
SIaIo:
Water Soften.rs
Sump Pump iii: Ejeclors
WlA!or H.aters
Sanitary Bubblers
Bor and Soda Wastes
8ho.... Baths
Wï.ò' c)
UriDals
Jd / Ir;.;
/v¡,;.1/' /íV+-
FJOO1' Draina
LaWld1y Tubs
Denial Cuspidors
Service Sinks
Inspec!ions Val'-'lion 01 the Work Herein Described Fee Verified. Receipled and Recorded Recei". eel Permit and Inspection Fees
-----------------------Oubid. $ '/l-Y.r!!.L lib. ~----------------Sewar Fees
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In the psrlormance of this work the undersigned owner (or hi. authorized agent) of said premis.s and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the BoaI'd of Pyblic Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the above connections except .s hel'einafter listed.
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- -- PlumbIng Inop..'"
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