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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8470
If..... & Ifame X) V ¡J ¡J (~/ / Street
PI~' ~rCL.- .-..- ..~...,_...._-_. o:'erv!':J¿L.lJ.~hØdfL.-?ZY.¥-41ú..d.... N~ber .........1cg.2£....~2~~ -
~--- I Block I Ward I AddU;on or Replat
OUTSIDE WORK
Date
NEW Slwœ WATER STORMS fEES fEES REOAY S. SEWER WATER StORMS fEES
From MaIn to Curb Seplic Tank. From Main 10 Curb
~m ClUb to Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW IlEP. USED ~ NO. NE'" REP. USED fEES NO. NEW REP. USED fEES
- - ~
Bath Tub / 11.0-0 Garbage DÏI!~ Catch BolDs
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Wuh Buin / /. ðV Dlsh"uh... Conduelora
'- - ~ - -
Watø Clooet j I;.~ Lauml>- Greue Catch BulDs
Sink: Water Softeners Sump Pump 8< Ejectors
Wator Heaters / I I'f) Sanitary Bubbler. Bar and Soda Waslea
Showø Baths Urinals ~-
Floor DralDil Dental Cuspidors
Laundry Tubs Service Sma
JrlllpecI10rlll Valualion of Ihe Work Herein Described Fee Veriñed. Receipled and Recorded Received Permü and InspeclioD Fees
--..----...--...----Outside .J;Joo ' <>-t:! .--.........-.-.-Sewer Fees
$...-......-.-..-....-.-.-..-..-....-.-........-.-- .--..4-~plbg. Fee.
........-..-.------------IrIIIlcle
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In Ihe performance of Ihls work the undersigned owner (or his aulhorired agenl) of .aid premises and his aulhorlred Plumber hereby agree 10 b. bounden by and
submll 10 all slalul.s, city ordinances, and rule. and regulations prescribed by Ihe Board of Public Works for Ihe government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be mode of th. above connections except as hereinafter IIsled.
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