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PLUMBING PERMIT - Oshkosh, Wisconsin
221n- Name -'1A1" ~ -~ ~
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----- -------~------------------------- Owner ----------------------------~------------------------ ---- --____e---__-
I Block I Ward
Permit N'.? 9,100
Slreel -
----- N~':ber --------¿-]£----~____d~:_-
I Lot No.
I Addilion or Replat
Due
OUTSIDE WORK
-
NEW SEwn WATER STORMS FEES fEES RELAY S. SEWER WATER STORMS lEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
FJom Curb to BuDding Electric Pumps From Curb 10 BuUding
Repair
~~ / /ÕÒ
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INSIDE WORK
NO. NEW "P. USED fin NO. NEW REP. USED FEES "O. NEW REP. USED fEES
~ - -
BUb Tub Garbage DÏI~ Caleb BuiDs
- -
Wub Buin Dilhwuhero - Conduclors
- - - -
Wuer CI_t LaundramII!R Grease Cuch Buhuo
Sink Wuer Softeners Sump Pump Be Ejeclors
Wuar Heuers Sanitary Bubblers Bar and Soda Wules
Shower BUhs Urinals
noor Dr8l1uo Denial Cuspidors -
Laundry Tubs Service Sinks
I...pacIlons Valualion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon Fees
--------------------.------------------------___--Oulside $----------- :::::::;~J:_£~~r F:7
--------------------------------------------.----------
--------------------------------------------------_----Inside
----f~--(jt:r~-------------- :::j:sZ::O:::~::::=:::::~::~:~::::::::::-~::~ ----- ----------------ë-';Y-T;;;;~;ë;--------------------------
------~- -- -- -Final OK Date 7 ... /v:- 7';.
In the parlormanco of this work the I~Signed 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 les and regulations 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 connections except as hereinafter listed.
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