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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~' 8983
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I Lo.t No. 1 Block I Ward I Addmon or Replat
OUTSIDE WORK
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", '0 NIW SEWEll WAIEII STORMS FEES fEES RELAY S. SEWER WAIER StORMS fEES
From MaiD 10 Cub Septic Tanks From Main to Curb
~ Cub 10 Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
-. NIW UP. USED HES NO. NEW REP. ~ FEES NO. NEW REI'. USED HES
Batb Tub Garbaga DIspooaIs Catch Buins
Wasb BuiD Dlshwuhen - Conductors
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Water Clolat LaundrllDlllis Gr_CatchBuins
SIDk Water Softeners I / .0-(, Sump Pump It Ejectors
Water Heatars Sanitary Bubblers . Bar and Soda Wutes
Shower Baths Urillals
Floor Draiøs Dantal Cuspidors
Laundry Tubs Semea Sinks
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Iaspect1ons Valuation of the Work Herein Described Fee Verified< Receipted and Recorded Received Permit and Inspection Fees
-----......-.----....--.....---------...-----.-OuØicle $...-.J-f..~...:_~-_.._........_..._..._......._._._.._.._- .....-.--........-.-------..Sawer Fees
-.-..----..--...--.-...------.--....--------.".-Insi<Ia ...._.L!::!!.__.Plbg. Fees
..---....--....-...----...-..---.---...-- $.......-........--...--...-.----........--...-....--.-..-....."--"--""" -.--.....L(!:::Ç!.---.TOlaI
---------_...---F1naI OK $..-..--.--.......--..---.........--...-....-..--.-.-....-..--."--- ------'---"'---'---'--""ë,i:¡Ÿmõù;ö;----"'----"---"'--.-.. Date 4 _...s- - 7 (p
In th.. performanc.. of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescrl"-d by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will bo made of the above connections except as hereinafter listed.
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