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PLUMBING PERMIT - Oshkosh, Wisconsin
Name Name c¡;- ~
of - . '1 ' of . /
Plumbe;?J~J'$;¡..f..L._::J2/?...__.. Owner .mL!íd~.~..~",c'¿.y,.. ... <,I'
I Lo.I No. I~ I Ward .?
OUTSIDE WORK
PermltN? 8655
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I P.ddmon_or Replat
Dùe
NIW SIW.. WATIR STORMS Fls, ms RItAY .. SEW'R WATE' STORMS FE..
From MaiD to Cub t/ ',(!.¡ / "G Septic Tanks From Main to Curb
FIom C...b to Building ,--"'./l,' I"~ e / ~ Electric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO. NIW UP. USID FIlS NO. NEW REP. USED I~'- NO. NEW REP. USED FilS
Bath Tub Garbage D~ Cùc:h B...i...
I---
Wash Buill Dishwuhen Conductors
- - - - -
Wù... CIGHt Laundramù8 Gre.... Catch Bulns
Sink Wùer Softeners Sump Pump &: Ejectors
-
Water Heùen SanitlUY Bubblers Bar and Soda Wutes
Show.... Baths Urinals
Floor Dralu Dental Cuspidors
La\.llldzy Tuba Servioe Sinks
Inspections Valuation of the Work Herelll Described Fee Verified, Receipted and Recorded Receiv.~ P:';p and Inspection Fees
--.---.--.-..-..--.__.-Oublde $m..~f29-:.~._...._----_......_...._. --.""'-.'-..-..--Sewer Fees
-.-...--.-----.-----Inslcle .___.L.:'..:?._.PIbø. Fees
$........-..-....-.-.............._.._m.__..._.........-...- ..........~...~:?...TotaI
=~~~~; $...........-..-...-.......--..--.--............-.- "-"""'-"--""""Cliÿ'-"-;-;';~;;;"---""-"----'-' Date ¡/- 6 - 7<~
In the performance of this work the undersigned owner (or his authorized agent) of said premises and hi. authorized Plumb..r her..by agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations pres..ibed by Ihe Bo.rd of Public Works for Ih. governmenl of Piumbe,'"
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