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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8950
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Date I Lot No. I Block I W:d I---Add¡¡~~
OUTSIDE WORK
HEW SEWb WATE. STOAMS "'S ".. .ElAY S. ..W,. WATE' STOAMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
FJoom Curb to Building Electric Pumps From Curb to Buü<Üng
Repair
INSIDE WORK
NO. HEW UP. USEO FlES NO. NOW "P. "SE. FEES NO. HEW .EP. USE. FEES
Batb Tub Garbage Dispoøals C- Buw
Wub Bubs Dishwashen _1- Conducto..
I~ - ~ -
Water Clooet Laundr- Gre.... Cach Bulns
SIDk Water Softene.. Sump Pump 8£ Ejectors
Water Heaten / p-V Sanitary Buhbwn Bar and Soda Wastes
Shower ;8aths TJriDa1s
Floor DrtOlwi Dental Cuspidors
LellDdry Tullo Service Sinks
InIpecliODS Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
------------------Oulside $--j~,?:?:'_::.~--------------------------- ------------------------Sewer Fees
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----------------------IDSide ------"":'-:;;::¿¡---Plbø, Fees
-------~ß---- $---------------------------------------
---------------------c;ΟTr.;;iü;õ;----------------- -----¿_:"---------Total
----_/.....t:::::Final OX $------------------------------------- Date /_/£l -- 7b
In the performlnce of this work the undersigned owner (or his authorized agent) of soid premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other use. will be mode of the above connections except as hereinafter 1i,led.
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----~- Plumbl.. I..~. --
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