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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8028
12s?~ ~-~--~--- ::!:r c9/!¿-~------------ :~tr hU~-q-~_____L2d__:2z2~___J-=-
I Block I Ward
l Lot 11'0.
t Addilion or Replat
Dale
OUTSIDE WORK
NEW SEWER WAtER srORMS 'EES 'E'S RltAY S- SEWE. WATER STORMS 'EES
Fzom Main 10 Curb Septic Tanks From Main 10 Curb
Fzom Cuzb 10 Building Eleciric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO. NEW UP. USIID HES NO. NEW REP- U.EO 'EES NO- NEW REP. USED 'EES
- - -
Batb Tub / I j...v Garbage Dilpooala Catcb BasIDs
Wuh BasIft I 1/.t'U Dilhwashers Conduciors
- -
Water Cl_t / I / <'--Ù Laundremats Greue Catcb BasIDs
Slalc Water Softe"""s Sump Pump 81: Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Sho...... ;BathR Urinals
Floor Dralu Dental ClUpldors ,-
Laundzy Tubo Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
-----~rl:-T-----__-__Outslcle $--~o._t!_L.~----------------------------- ----------------------Sewer Fees
__moL -'.1 _.2_-------Inslcle ---",iLd__Plbg. Feu
$---------.------------------------------------ -----~---~--Total
~Tl!Ff--'---- ---------------------Cliÿ--Ÿm'-ü;ë;-------------------
--- --------F1na1 OK $---------------------------------------- Date ) / /) - 7J,-
In th. performance of this work the und.rslgn.d owner (or his authorized agent) of ,aid premise, and hi, authorized Plumber hereby agree to bo bounden by end
submit to oil statutos, city ordinances, and rul.. and regulations prescribed by ¡he Board of Public Works for the government of Plumbers.
It is futher Bgreed by the undersigned that no other uses will be "'Bde of ¡he above connection, except B' hel-elnaftar listed.
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