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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8515
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L~ot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEwn WAT.. STORMS FEES ...S .ElAY S. s.w.. WATE' STORMS ,..S
From Main to Curb Septic Tanks From Main to Curb
~m Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
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110. NEW III'. USID HU NO. NEW ..,. US.D "'S NO. NEW ..,. US.D 'EES
J!Iaih Tub Garbage Dilpc¡aaIs CiUehB...m.
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Wub Bum I JeV DiøhwMhen Conductors
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W- Claset I J<Y6 Laundr- Gre..... Catch Buins
SIDk Water Softene.. Sump Pump & Ejectors
Weier Heaters I jrlJ Sanitary Bubblers Bar end Soda Wast..
¡,C\wer BaØuI Urinals
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Floor Dr""" Dental Cuspidors
LaUllc1ry Tum Service Sinks
Iupecticu Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Iupeetion Fees
--..------.-------. ----Outside qOO't.>-() --------..-.........--Sewer Fees
$-------..---.-.-.---------------------...-------- ---_..i.._~-P1bg. Fees
==~-=---~r;4tlbTIu,~ $-----.--.--.--------.------------------------------- -----;.;L-~-__Total
----])V..J12$.~ina1 OX $-----...-----------------------------..------..- ---------'-------'--'ëïtŸTr...~;.;----"'--'-"-""'-- Date <{.;J..f.7's-
In the performance 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 regulalions prescribed by the Beard 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 <onnections except .s hereinaner listed.
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