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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8497
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L.:No.. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Dat.
NEW SEWEI WATER STORMS 'EES 'EES RElAY S. SEWER WATE' STORMS 'EES
From Mam to Curb Septic Tank. From Main to Curb
From Curb to BuilcIiJIg Electric Pumps From Curb to BuilcIiJIg
Repair
INSIDE WORK
NO. NEW UP. US"" flES NO. NEW REP. U'EO 'EE' NO. NEW REP. USED 'EES
Batb Tub GarbageDiIpoI¡aIs Catch B,,"ins
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WIUh Buill Dish"","hen 1- Conductor.
- - - -
Water ClMet LaundrlUli8Ø Grease Catch Buins
SIIIk Water Softeners Sump Pump Be Ejectors
Water Heaten I Sanitary Bubblers Bar and Soda Wules
Sho..... .Batiu Urlilals
Floor Dralu Dental Cuspidors
Launcky Tubs Servlce Sinks
IDlp8CtlolII Valuation of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
------------__---o.llide $___.!sií2c~____-----_..._---------_.._-_.._---- -----------.....--..--Sewer Fees
--...-----...----------IlIIide -----l.c._~:::::::...Plbg. Fees
7ïÍFh~-- ~~; $....----------------------..--.....----...------- -----.)c..~~:- Tolal
$----..------- ----------..----...---- "---------------"'-"'Cljÿ-T;;;;~;;;--""'--""'--_h- Dale >/- .:U. 7-5-
In the performence of this work the undersigned owner (or his euthorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinance.. and rules 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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