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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 9145
BUM Çþ~~~ Name ~ Streel ~
of . of ¡-----> -- - - ,and .
Plwnber --- :-- 'm- ----0- --- -----. ft ~ fJ <7--- ~~-~- - - -- - - ---- Number --c:2d_¥¿Lm . - .-- - ----_m--_--_-------
I Lot No. ----- I B!ock I Ward I Addiiion or Replal
Dale
OUTSIDE WORK
NOW SEWEI WATER S'ORMS FEES ms RELAY S. SEWER WATER S'ORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb to BuDdlnll l.d~ (1 -' I '. (!~ I.J¿¡-z;! Electric Pumps From Curb 10 BuUdinll
Repair
INSIDE WORK
NO. NEW UP. US'" FEES NO. NEW R". USED ms NO. NEW R". USED FEES
-
BaIb Tub Garbage Diapooa!s Caleb Buw
- -
Wub Buin Diabwuhera ~ Conduclors
- - - -
Waler Cl_1 Laundr- Greue Caleh Buw
-
Sink Waler Sofleners Sump Pump" Ejeelors
Waler Heale.. Saniiary Bubblers Bar and Soda WHIts
BhDwer Baths Urina1s
-
Floor DrIlÚl8 Denial Cuspidors -~ -
-
Laundry Tub8 Serv!ca Sinks
Inspeclions Valuation of Ihe Work Hereie Described Fee Verified. Receipled and Recorded Received P~ii and Inspecfion Fees
.._-------------------------------------mOulside $--,;¿øt/---~----__----mm__----_--mm__------_-- _--md--'_------------_88"er F-
--_------m----------------------------.----___-----Inside :::::::~:~:::~::; Fees
=r.z¿~q==::::::::::;~-~; $-----------------------------m--_-------_m--__m----m--m----m.
---- ----------ô;Ÿ-',;;;-ú,;;---_--------_m_---------
$_m----_--------__--___mm------m_--------_m----_------------- Dale 1/. 7. 7~
In the performsnce 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 prescribed by Ihe Board of Public Works for the governmant of Plumbers.
It Is futher agreed by Ihe undersigned that no other uses will be made of the above connections excepl as hereinafter listed.
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