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- PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8621
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~ I Ward
OUTSIDE WORK
Dlllo
I La! Ko.
1_- ~ddi!ion or Repllll
NEW SEWEI WATER STORMS FEES fE.. RELAY S. SEW" WATER STORMS FEES
From Main to Curb - Septic Tanks From Main to Curb
FIom Curb to BuilcIIng Elecuic Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW l1li'. USED "'ES NO. NEW R'P. ~ FEES NO. NEW REP. USED fEES
Bath Tub aubage DioponIs Caleb Bum.
Wash Bubl DIsh",...h... - Conductors
- - - -
W- CI_t Laundr- Grease Catch Basins
SIIIk Wilier Soften..s Sump Pump 81: Ejectors
Wilier Hellle... / ) v-<> S..wuy Bubblers Bu and Soda Wastes
Show... Baths U>.'Ùl81ls
Floor Drains Dental Cuspidors
LaUlldry Tubs Service Sinks
Illipectiolil Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection F-
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------------------_____Oubide $---------_/.. ~Q_...=------------_._- ------- -1:Z-pð"____Sewer Fees
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'1 :I:1.:---2.-----F1Dal OK $------------- --------.----.---------- -------- ---------- -ët¡:¡ Ÿr';;;~;;;; ------------ ...- Da!e ß)/)-7;;-
In thl> perlormance of this work the undersigned owner (or his authorized agent) of said premis.s and his autnörir.d Plumber horeby agree to be bounden by and
submit to ail stalutes, city ordinances, and rules and regulations prescribed b!...!."!~-,,~<I.. of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no Gther uses will be mado of the above connection. except a. hereinafter Ii.ted.
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