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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N':' 8812
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
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NEW SEWEll WATE. STORMS ""S ,,"S .ElAY S- SEW'. WATE. STORMS FEES
From Moún to Curb Septic Tanks From Main 10 Curb
FIom Curb to Building ¡.J- "(1.1' / L:2 1(7, ~ Electric Pumps From Curb 10 Building
I Repair
INSIDE WORK
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NO, NEW UP, USED flU NO, "EW .'P, USE. FOES NO, NEW .EP, USED FEES
- -- -
IiIetb Tub Garbaga Dioponh Catch B-
Wub Bum Dlsh.....hen Conducto.s
- - -
Wat.. Cl....t Laundr- Grease Catch BulDB
SIDk Water Softeners Sump Pump 8< Ejeclors
Watiw Heaters SIWliery Bubblers Bar and Soda Wastes
Show.. Batha Urinals
Floor 1'IratD8 Denial Cuspidors
Llt.W1dfy Tubs Senñce Sinks
~1~¿----____0u!slcle Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permil and Inspection Fees
$_--_,;l/J.ò--,-~----_..._------------------- -------",;1_:--~__Sewer Fees
------------------------Inslcle ._-----.L.:-~_-Plbg. Fees
-------------- $------------------------------------------------------ ------4--~_Tota1
--------------Final OK $---------------------------------------- ---------------------ëi¡:;-imw;;;;-------------- Dale Jd! ,J. . ? 5""
In the performance of this work the undersigned owner (or his authorized agent) of .aid prem/.a. and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the goyernmant of Plumbers.
It Is futher agreed by the undersigned that no "ther use. will be made of the above conneotions oxcept as hereinafter listed.
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