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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8266
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I Lot No. I Block I W:ard .I Acidilionor Replat
Dafe
OUTSIDE WORK
NEW SEWEll WA'ER S'ORMS 'EES 'EE' RELAY S, 'EWE' WAIER STORMS 'E"
Fmm MelD to Curb Seplic Tanks From Main 10 Curb
Fmm Cyril to Building Eleelrlc Pumps hom Curb to Building
Repair
( --771,' Q &;2~ /' ðO'
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INSIDE WORK
NO. NEW UP, USED FlES NO, NEW R'P, U". 'E" NO, NEW REP, USED 'EES
-
IIeih Tub aubag.. Dilpoliais Cafch Bulns
-
Wuh BulB Dlshwuh.... Conduelors
1- - - - -
Waf." CI_t Laundramala Grease Cafch Bulua
SIDk Wafer Softeners Sump Pump Ik Ejectors
Wafer Heafe... Sanito.ry Bubble... Bu and Soda Wastes
Show." Baths UriDals
Floor Dralua Dental Cuspido...
Laundry Tube Serv!ee SlBka
Inspections Valuafion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
---w.--Z'---- ----- Outside $--~à... ~~~...7..,£;,-~,~--_..._.._---- --.......--...----Sewer Fees
-....--- ,-~, 7r.-_____Jnside -_J':,~--"'pIbg, Fees
----------,-_...._- $..------..-..-..--........-..-..-..-..,----....-..- .._,-¿:-::::::_- Total -
-_____-----Flual OK $..--........----------.----------------------- ---""""--"""""'ë'l¡:iT;;"S~;.;--"""-"""'----- Dafe ;/-..2.3 7..5
In the performanee of this work the undersigned owner (or his authorized au..nt) of ..id premls.s and his authorized Plumber hereby agree to ba bounden by and
submit to all statutes, oily ordinane.s, and rul.. and regulations prescribed by the Board of Pub lie Work. for the government of Plumhers.
It is futher agreed by the undersIgned that no other uses will be made of the above eonnections exe.pt~e.fflíiafter listed.
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--_..~~ PlumbIng Ins,....¡:z::r-..
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