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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8501
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Date I Lot No. I Block iI ¡ Ward I Addilion or Re¡>lat
OUTSIDE WORK
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NEW SEWER WATER STORMS ,... FEES .ELAY S- SEW'. WATE. STORMS '.ES
From MaID to Cub Septic Tanks From Main 10 Curb
From Curb So BuUcIiDø Eleclric Pumps From Cub 10 Building
Repair
INSIDE WORK
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NO. NEW lIP. USED FlES NO. ~EW .'P. USED ms NO. NEW ..P. USED FEES
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Bath Tub Gubag" DiIpœala Catch Bulns
Wuh BuhI DiIh.....hen Coroduclors
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Water CI_I Lsundr- Grease Catch Basins
SIDle Water Softensrs Sump Pump 8< Ejeclors
Water Heate.. I Saniiarr Bubblars Bu and Soda Wastes
Show.. Baths Urinala
Floor Ðr8lu Denial Cuspidors
Laundry Tubs Service Sinks
buopectiou Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
------------._-OuIside $..._Lf3_,_~__----_....._-------------- ----..-..----------...-5awer Fees
-----------------Inside --__-_L~7...Ibg. Fees
-------------- $------------------------------------..-----.--.-- ...._--,(..~----TOlai
----------------!'Inal Ole $---.-......-----..-...------...--...-..--..--.......-- -""-'-'---------"'-'-ëiiÿ--ÿ;;;'-~;.;--"'----"----'-'- Date f( ó2.62. 7~ -
In the performance of this work the undersigned owner (or his authorized agenl) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. end 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 u..s will be made of the above connections except es hereinafter listed.
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pwnor 0' ",eml... Of hlo 8'ijed agant -_...
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