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PLUM~ERMIT - Oshkosh, Wisconsin. .' Permit N? 8953
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Lot No, Iv Block I Ward I Addition or Replai
OUTSIDE WORK
Dafe
NIW SEWEI WATEI STORMS lEES FEES RELAY S. S~WE. WATER STORMS feES
From MalIa to Cub Septic Tanks From Main to Curb
From Cub te llluilcUnll Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. HEW UP. USED flES NO. NEW .EP. USE. ..,S "O. HEW .EP. USE. fEES
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Bath Tub Garbage DispDoaIs Catch :Suins
Wuh Buin Dishwubers Conductors
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W- aGlOt Laund:t- Greue Catch Bums
SiaJc Water Softeners Sump Pump 8< Ejectors
Wafer Beafe.. / ;,r-d Sanitary Bubblers Bar and Soda Wastes
8ho- Bafhs Urillals
Floor Dralu Dental Cuspidors
Laundry Tubs Serrice Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
----..--..______m-..---Oublde $..l.~./!.':'_~m....__.._____.m..__....m....m- -...----....-....--..-Sewer Fees
----------.----..---InsIde .__.....L_.::..E-PIbg, Fee.
--..---..---- $............ mm_____m......__- ""--"--....----"- .....--....L:..~~Toial
_--....mm__..-----FfnaI OK $..-....-..... "m__.._- -..--......-....--..-- ...--......- "..mm.._- m.._m_ëiiÿ_ÿ;;;.;;;¡;;_.....m__....m..- Date /-/~.'7b
In the performance of Ihis work the undersigned owner (or hi. authorbed ag&nl) of s.id preml... and hi. aulhol'ired Plumber hereby agree 10 be boundan by ""d
submil to all stalute., city ordinances. end rules end regulations prescribed by Ihe B".~d of Public Work. for Ih. governmenl of Plumbers.
It Is 'ulhe. egreed by Ih. und.rslgned Ihet no other uses will be mode of th. ahove connections exc.p! as herei..ft.r listed.
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