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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8509
~ Hame ~ Ji ¿Street ~ ff.þJ ./
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---- - ---- -- ~--------_..__......_-- Owner _.._m::.. - - "br7~"-" - -t.#-,,¡.£f-M-~umber mm_J~ --m.. ....m_m~~
I, ,Lot Ho. I Block I Ward I JI.ddilion or l'Ieplnt
OUTSIDE WORK
Date
NEW SEWEll WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Moin to Curb
From Curb to BuI1dI31g Electric Pumps From Curb to Bui!dhtg
Repair
INSIDE WORK
NO. NEW RlP- usm FeES NO, NEW REP, USE' '",S NO, NEW REP- USED FEES
Pi 10: T - - 7ðé - -
Batb Tub GlI%bage DiIpoGaJa Caleb Basins
3 J a6 1- -- I--
Wash BuiD DIsh.....be.... ~ Conducto..
"? j.o~ / (J(' -
Wat... CIOI8t Laundr...",.¡, Grease Catch BuiDs
SbIIo: -; J6( Water Softeners Sump Pump 8< Ejectors / hi
Wate~ Heate"" ';z 1(Jj Sanitary Bubble"" 1311% and Soda Wastes
Show"", Batlul I1ri11a1s '/:1/_/7 / / tJ(
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FloĊ ~aIU 7' löO Dental Cuspido""
Laundry Tubs ~ Service Sinks
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~7!zL---------OUtside Valuation of the Work Herein Desoribed Fee Verified. Receipted and Recorded Received Permit and Inspection Feel
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In the performance of this work the undersigned owner (or hi. authorized agent) of said premi... and his authorized Plumber hereby agree to be bounden by and
submit to oil stalutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher ogreed by the undersigned that no other uses will be made of the above connections except as he.einofter listed.
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-------~~11I9 Inspector
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