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PLUMBING PERMIT - Oshkosh, Wisconsin
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L.o1HO. I Block I Ward
OUTSIDE WORK
Dale
Permit N':' 8698
Street
N~bar ._--"j~p'..._--./v..1.-._._...,;22M/(;~ #
I Addition or Replai
NIW SEWEI WATER sroRMS fEES fEES RELAY S. SEWER WATER SrORMS fEES
From MaIn to Curb Septic Tank. From Main to Curb
FIom Cub 10 Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
110. NEW UP. .SIiD fI'. NO. NEW REP. .SE. .... NO. NEW REP. .SE. fEES
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Bath Tub GlUbage D;.poeaJs Catch Basins
WtIIb Bum DishWMh.... Conductors
1- - ~ -
Wllter CI_t Launclr- Gre..... Catch Buiøs
SIJtk(JlaN) ) / "j/Í)C Water Softeners Sump Pump 8< Ejectors
Water Helliers Sanitary Bubblers BIU and Soda Wastes
Show... Baths Uriøo1a
FJCIOI' DraiDa Dental Cuspidors
Laundry Tubs Servi.... 5mb
Inspec:tI.ons V~atiOnOf the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
----------.-----.--..-Outside $~_-'l'.Œ6.. L--<?JJ ------- -"-m"------ ------ - ---.- -------------....----Sewer Fees
----------------------Inside --/.o1.tL---PIbø, F...
$-..-..-----------------------.--.--------------- 4Ld?t2__---TOfai
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--W...u:::.--F1naI OK $..--.---.....-.---...m---------..-.----.-
In the performance of this work the undersigned owner (or hi. authorized agent) of said premises and his authorí.od Plumber hereby agree to be bounden by and
submit to ell stetutes, city ordinence., end rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no "ther uses will be made of the abo-... connections except as hereinatler listed.
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- ~- PlumbIng In......'
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