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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8615
T ' Name D // Slreet .
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I Lot No. -I Block I Ward I Addiiion or Re¡>l!Ù
Date
OUTSIDE WORK
NIW SEWEA WAIEA STORMS FEES FEES RnAY S. SEW" WATER STORMS FEES
From MaiD to C1U'b Seplic Tanks From Main to Curb
~ Curb to BullcIInø Electric Pumps From Curb to Dunding
Repair
INSIDE WORK
,
NO. NEW UP. USED FEES NO. NEW R". USED FEE' NO. NEW REP. USED FEES
/<:~ - ~
Baib Tub / Garbage Dilpooa]s Catch Bum.
Wash BasiD b- :;)"- - Dishwuhen Conductors
- - - - -
la ~()'" / /~ -
Wat... CIOI8t -}:;"- Laundr!mlats Grease Catch Bums
SIDk / /~ Water Softeners Sump Pump &: Ejectors / V.1'"
Wider Heaters / /~~ Sanitary Bubblers Bar and Soda Wastes
Show"" JIatba / /~ Urinals
F1oor Dralwl '/ /~ Dental Cuspidors
Laundry TuJ>ø Service SiDks
IJlSpectiolUl Valuation of the Work HereiD Described Fee Verüied. Receipted and Recorded Received Permit and Inspection Fees
------------- ------------ Outside $------~-_.2_?.._?L~__9.__------- 7.-------_._------Sawer Fees
------------------_.-----Inside -;!~"':::_Q--_-P1hg. Fees
----------------- $-------..----------------------------------------- D~~----/~;5,ft~s
-----------------F1Dal OK $------------------------------------------------- ---------_h_-----------CI¡Y-Trê~;~;;;---------------------
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In the performance of this work the undersigned owner (or his authorized 8gent) of said premises and his authodzed Plumber hereby agre" to b. bounden by and
submit to all statutes, city ordinances. and rules and raguiations prescribed by the Board of Pub;;c Works for the government of Plumbers.
It is futher agraed by the undersigned that no other uses will be mad. of the above conneclions excapl as hereinafte, listed.
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