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PLUMBING PERM~ - Oshkosh, Wisconsin Permit N? 8620
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I Lot Ho. 'I Block I Ward I Addition or Replot
OUTSIDE WORK
Dale
NEW SEWER WATER STORMS fEES ""5 RELAY S. SEW"~ WAtER STORMS FEES
From Main 10 Curb Septic Tank. From Main 10 Curb
FIom Curb 10 Building Eleclriç Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RIP. USED NO. NO. NEW R'P. US,. FEES NO. NEW REP. US,. n,s
- - - - -
BaIh Tub Garbaga Disposals Cairn Basins
Wuh Buill Dish..asb.... Conductors
- - - - -
Waler CIOl8I LaUl1<lr- Gre..e Caleb Basins
SbIJc Wal9r Softeners Snmp Pump 81: Ejectors
Waler Healers j jìJ-j Srmiluy Bnbbiers Bar and Soda Wast...
Sho...... BaIhs Urillals
Floœ Dral:wl Dental Cuspidors
LaUlidry Tubs Senice Sinks
ID8P8d1ons Valuation of tbe Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
----------------. ------ Outalde $ .._-_.LJ.. (J---"::::-----..--- ---------- --_..- -œ-;;:¡-..JJfJ..er Fees
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-- --------Final OK:
In the perfermance of this work the undersigned owner (or his authori.ed agent) of said premises and his authorized Plumber heraby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the lIoard of Public Works for the gevernment of Plumbers.
It Is futher agreed by the undersigned that no other uses will be ",ad. ef the above connections except as hereinafter listed.
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