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~ '. ..,,", c' PLUMBING PERMIT - Oshkosh, Wisconsin Pe~mit N? 8082
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I.. Lot No, I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEWER WATER STORMS FEES FEES RE'AY S. SEWER WATER STORMS FEES
ham MaIn to Curb Septic Tanks F~om Main to Curb
FIro... Curb to BuDding Electric Pumps Frem Curb to Building
Repair
INSIDE WORK
, . , ,
NO. NEW RIP. USEO FlES NO. NEW REP. USED FEES NO. NEW REP. USED FlES
- ~
Bath Tub GarbagoD~ Catch Bolos
-
Wub Bum Disbwahen Conductora
- - -
W- CIOMt Laundramata G~...... Catch Bolos
SIIIk Wate~ Softene.. Sump Pump " Eieclo~s
WIIte~ Heaters / fj.QÓ Sanitary Bubblera Bar and Soda Wat..
Show... ,Baths Urinale
F1oO1' ~81118 Dental Cuspidors
Launc!zy Tuba Service Sinks
Iupactiona V"atlon of the Work Herein Described Fee Verified. Receipted and Recorded Received Pe~miI and InapecJloD Fees
-----------------------------Outaide $--_._~-~--_<?~---------------------------- ---:J'.--:------------Sewe~ Fees
---------------------------Inaide -J"j,QQ------.P1bSI' Fees
~~i5..~tI~~---~ina1 0; $-------------------------------------------------- ---- Y'.:U?_-!?_:__Toial
$------ ------- ---------- ------------ ---------'--------------Cliÿ-T;~~;~rè;-----'------------ Date / A //:15"'"
In the performance of this work the undersigned owner (or his authorized agent) of said premise. and his authorized Piumber hereby egree to be bounden by end
submit to all statutes, city ordinances, and rules and reguletions prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the above connection. except as here!!!;lfHr listed.
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Plumbing In_.....'
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