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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8026
, :a:..~14--_- Z~~------ :::t&~,j-~~~ _--.81 .
LLo.t No. I Block I Ward
OUTSIDE WORK
. Addition or Replat
Date
NIW SIWEI WAIER STORMS FilS FIlS RElAY S. SEWIR WATER STORMS FIlS
From MaIn to Curb Septic Tanks From Main to Curb ~
'r "' 1.tH)
Flem Curb to BuJldIDg Eleclzic Pumps From Curb to Building
Repair
NO.
INSIDE WORK
I-I-I~I~I~I I~I_I~I~I~I 1-
FilS
RIP. I USI.
Bath Tub
GarbageDiIpo!ak
Catcb Basins
Wub BuiD
f--
Dishwuhers
Conductors
Wat... CI-
Laundramatl
Greue Catch Buiua
SbIk
Water Softeners
Sump Pump Ik Ejectors
Wat81' Heaters
SlDÜary Bubblers
Bar and Soda Wutes
Show... .Batha
Urluato
Floor DraIDs
Dental Cuspidors
La""cIry Tubs
Service SiDb
IlIIpactio... ----.-----Outoide
~=:=::::::::::::_-::==~~----.-_.1IIIide
Valuation of the Work HereiD Described
$.. -!:f.2_iz-"___~_.._--------_.._.._----
Fee Verified. Receipted and Recorded
Received Permit and IlIIpsction Fees
-----_.l!-~---Sewer Fees
:==L:-:~~:: F-
1- /7. 7..5
~i~~- Fiual OK
$---.------------.-----------------------..---------
$-----------------------...---.--------------------
Date
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In the psrformance of this work the undersigned owner (or his authorized agent) of said premis.. and hi. authorized Plumber hereby agree to be bounden by and
submit to all stalutes, city ordinances, and rules and regulations pre.cribed by the Board of Public Work. for the government of Plumbers.
It Is futher agreed by the undersigned that no other usas will be made of the above <onnection. except a. hereinalter Ii.ted.
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-- ---- - - Plumbl"" In_'J). ""i!J;--
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