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- PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~~ 8255
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L.o.tKO. I Block I Ward
OUTSIDE WORK
Dale
f Addilion or Replat
Naw SEW" WAIIR STORMS FEES FEES RELAY 5- SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
~... Curb to DuDding 'f// (f 1:: jllr>_i'> -~f, 0 Ö Elecuic Pumps Frðm Curb to Building
V Repair
INSIDE WORK
NO. NEW UP. USED FlES NO. N'W REP. USED FEES NO. NEW REP. USED FEES
Bath Tub Garbage DiIpooala CatchBasirls
-
Wash Basin Dishwashen Conductors
- - - - -
Wate CI_t Laund......ats Gr...... Catch Basins
Sink Water Softenars Sump Pump 8< Ejectors
Waler Heaten Sanitazy Bubhlers Bar and Soda W...tes
Shower Baths Urinals
Floor Drains Dental Cuspidors
Launclry Tubs Service Sinks
INpections V);iOn of the Work Herem Described Fee Veriiied. Receiptecl ancI Recorded Rec¡Jj~~eÓmit and Inspection Fees
-----.----------...-------Outoide $-----~ð.......:_~~------------_.._._---- ----------------_..sewer Fees
------------.---------Inside 'lI.L~.9.A--plbg. Fees
$--....----------------..--------------.---.--------
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$---.--..------..---.......----------..-.---- Date "/.. ;t$ - 1.s -
In the performance of this work the undersigned owner (or his authorir.d .gent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be mede of the .bove connactions J>X<ept .s hereinafter listed.