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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8022
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LI.oINOo . I Block I Ward
OUTSIDE WORK
Date
¡ Addiiion or Raplat
NEW SEwn WATIR STORMS '""S '""' RELAY S. '"W'. WATER STORMS '""S
From MaIn to Curb Septic Tank. From Main to Curb
From Curb 10 BuDding Eleclric Pumps From C...b 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED FIlS NO. ",W R'P. U'"O filS "0. NIW REP. USED 'EES
Bath Tub GarbagG DiIposaJa Ca!ch Basi""
f---
Wub Bum Dishwash..... Conductors
1- - - - f--
Water C~t Lau~ I IlðÒ Grease Catch BuiDs
SIDk Water Softeners Sump Pump lit Ejectors
Waler Heaters Sanitary Bubblers Bar and Soda Westes
Show.. Bathe UriDals
Floor !)raIDs Denial Cuspidors
LaUD.dry Tubs Service Sinks
IlIIpecllons Valuation of the Work Herein DescribEd Fee Verified. Receipted aud Recorded Received Permit and Inspection Fees
--..--..--..-...---.---OuIslde $....löi¿..~...._......._......._---_._._- ..--.--.......--Sewer Fees
-,,---...-.------.--Inside .__L.~__p1bgo Fees
~Yizr------- $"---.--.--"...---.-.-.-"..-.,,--...,,.--- .._._,,1-~__Tola1
$----"---..---.......--..,,,,-......-......,,-...-...- '..'-"'--"-.--cliÿ"i..-;-,'üiõ;---""""'- Date 75 -
.-- -.---.--Fillal OK J -/ ?
In the performance of this work the undersigned owner (or his authorized agent) of said premi..s and his autl1orired Plumber hereby agrae to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for tile government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed.
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