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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8675
Kame X ß ~ ~. Kame . Iì ' IJ Street ~
of r ~~ e../ of (', . èJÆ-¡ ~ and . . .
--- Plumber...... -J4J-fJ .""-- - .~ ..,..-...--.... Owner ...._~,-...LdJ'~.yr~"""~""""""" Kumbsr ......¿;[/.d..../'Y... .... .~~.¿~
I Lot Ko. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
')
NEW SEWEll WATER sTORMs 'EE. .... RELAY s. ,..... WAT'. STORMs ".s
From MaID to Curb Septic Tank. From Main 10 Curb
FJom Cub to Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
)
NO. NEW REP. u,m flU NO. NE'" "P. "'E. "" NO. N'W IE.. Us,. "'s
-
Bath Tub Garhag" DiopoaaJJo Catch Basins
Wub Bum Dlshwuhen - Ccnducton
- - - -
Water CI_I Laundramats Grease Catch BuinJ
8IDk / ,¿ Ò{ Water Softeners Sump Pump 8< Ejectors
Water Heaters Sanüorr Bubblers Bar and Soda Wastes
Show,"" B8ths Urinals
Floor DraIDs Dental Cuspidors
Laundry TuN Service 5mb
I...pscIions ¡;;:~:~:~~:'Z:..::~~:"~::=:~: Fee Verified. Receipted and Recorded Received Pernill and Inspection Fees
-------_.._---_.----Outside 'Z.._-_...._....sewer Fees
-----""æ-~r,?---_.__Insid. . _.&- QP--..Plbg. Fees
--l L¡ h,J----- $----------------------------...----...-....--.....----..- ..._.pJ-t2..--Tofal
_lh LL. 2~.---FiDa1 OX $---..-......-.---....-.----......-......-..--........-- ------ ...-. ..._--.... c;iÿ-ÿ,..w;;; -..- ...-..--... --...... Date /Y;;A~
In th.. performance of this work the undersigned owner (or his authorized agent) of s3;d premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and reguiations prescribed by the Soard of Public Work. for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the above co""ections except as hereinafter Ii.ted.
--Jj~:ll~~l/...~ ~-;. ~~Øïõ";~::~~~::~::'::::~::.:::::::~:::~:~~::
PI"""';.. 1.0_.
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