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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8553
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Dale I Lot No. . I Ward I Addition or Re¡:>lat
OUTSIDE WORK
NEW SEWEll WATER STORMS 'EES 'EES RELAY S. SEWE. WATER STORMS "ES
From MaIn to Curb ¿" (7-' If.,' (1/ ( Seplic Tenks From Main to Curb
Fzom Curb to Building /,.," /1,' / ~ '¿, 7 rlJ Electrlo Pumps From Curb 10 BuU<.futg
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Repair
INSIDE WORK
NO. NEW RIP. USED "ES NO. NEW R.P. u,.. fEE. NO. NEW REP. USE. FEES
- - - - -
Bath Tub Gubag.. Dispo¡¡a]s Catch Basins
Wash Basm Dishwash... Conduclors
Waler CI_t Laundramals Grease Catch BaslBs
SIAk Water Softeners Sump Pump 8< Ejectors
Waler Haat... Sanitary Bubblers Bar and Soda Wastes
Sho.... Bathœ Urhla1s
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Floor DraIDII Denial Cuspidors
Laundry Tubs Service SiDb
JIIIP8CtiOJIB Valuation of the Work Herem Described Fee Verified. Receipted ""d Recorded Received Permit and JDSpeclioD Fees
-----..- ---..-- ---- OUllide $ .._-_9:.(2 lL..~::!.._..__..__..- ..-..----......----- ..__I._:L~:?'..--.sewer Fees
-....---------------lnaide -__.....L_~!...--plbg. Fees
---yprf;t...r..=-- - Phial 0; $-..-----..---..-..-...-..---- --...----..----- ._...._-¥,-q,::?'._Totai
$--..--------______m_....__--- ---..-.._.-_m_m""-ëï':ïŸm.û;õ;""--""----"----- Dale c¡ - g. 75-
In the performance of Ihis work the unda..igned owner (or hi, aulhori.ad agent) of .aid premises and his aulhorized Plumber hereby agree 10 be bounden by end
submit 10 all sta,lutes. oily ordinances. and rules and regulations prescribed by the Board of Public Works for Ih. goyernment of Plumbers.
I! Is futher agreed by Ihe undersigned thaI no olher use. will b. mode of Ih. above connections excepl ~s. h.reinaflor lisled.
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