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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
Street Permit N'? 9069
N~:ber -j¡l.i-----~~---~t.- .
I La! No.
I Addition or Replat
Due
OUTSIDE WORK
NEW SEWn WATER STORMS FEES FEES RElAY S- SEWER WATER STORMS FEES
From MaID to Curb Septic Tanks From Main to Curb
FIom Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW ..,- USED FlES NO. NEW RE'. USED FEES NO. NEW REP. USID FEES
- - ~ - - ~
Bùh Tub - Garbage DIs~ CIdch Basins
Wub Basin Dishwashen Conductors
- - ~ - -
Water Cl_t Laundramals Greue Catch Basins
Sink Water Softeners Sump Pump Ii: Ejector.
Wuer Heaten I ¡vrJ Sanitary Bubblers Bar and Soda Waste.
Shower Baths Uriøals
n- Dralru Dental Cuspidors
1- - -
Laundry Tubs Senica Sinks
InspectioM Valuation of the Work Herain De.crlbed Fee Verified. Receipted and Recorded Received PermU and Inspection F...
--------------------------____--_m__------Out&ide .,..-c> --------------------Sewer Fees
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.---------------------------------------------Inside _------l:---~_---plbg. Fees
--------- - --- ------------ - ----- -- - ---- - ----- s------------------------------------------------------------------.. __-_L__~m- Total
------------------------Fiøal OK S-----------..------...------------------------------------------- -------------------ë;iÿ-T;;;;~;;;-..---.._--__m------.. Date 3-/b.'7Co
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 ordinance., and rule. 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 mode of the above connections except as hereinaltor listed.
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