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Name
of
PIumbe~
PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lœ No. ~ I Ward
OUTSIDE WORK
Permit N'? 9812
Slreet . /
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l_~ddilion or Replai
Date
NIW SEWEI WATE. STORMS FEES FEES ."AY S. SEWE. WATE. STORMS FEES
Fzom MaIn to Curb LLf/rr ¿ /11.. //11 iv- Septic Tanks From Main to Curb
C~.
FNm Curb 10 Building I I. .~ Eleclrlc Pumps From Curb to BuUding
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INSIDE WORK
110.
NEW
....
NEW
FEES
FEES
"0.
NEW
.E..
USED
.E'. I USED
USED
"ES
NO.
Búb Tub
Garbage Dlapolalo
Dlahwuhen
Cúcb Bulm
~
Waab BOlin
Conducto..
Watu CI_t
Laundr8DUIÙ
G~eaae Catch Bulm
f--
Sink
Wate~ Softene..
Sump Pump Be Ejecto..
Wúe~ Heaters
Sanitary Bubblers
Bar end Soda Wastes
Show... Búbs
U~iDaIs
Floor Dr81D8
Laundry Tubo
Dental Cuspidors
Service Sinks
~:~~:_--_....._._----...__......._Outside
Valu~ of the Work Herein Described
$....è<i.._....9.:----Þ.6-----......--.-.....-.-.---.-
.
Fee Verified. Receipted and Recorded
Received Permit and Inspection F...
--3-._ðÜ_...m.Sewer Fees
._.-/.~.Q[_...--PIbg. Feel
I/!Þ",O--à._._Total
Date )o<-cJ77&,
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City Tree.,...
.
In the performance of this work the undersigned owner (or his authorized agent) 01 said premises and his euthorired Plumber hereby agree to be bounden by and
lubmlt to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed.
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