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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N?, 9552
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PI~r ¥_<l..!::'--Øfbfdl.ÄZLry-- o~er _~~,--~2E!~_--_------------- H::'ber ---_¿¿¿~_CZ2f!:_..;;;;;;;Jd':---7f!--~¿;;1 ,
I Lot HO.' I Block I Ward
OUTSIDE WORK
I Acid,ilio_nJ>r_Re"IBl
NIW SEWEI WATER STORMS FEES FEES RElAY S, SEWER WATER STORMS FEES
From Main 10 Curb Seplic Tanks From Main 10 Curb
FJom ClUb 10 BuDding J-/¡/ .3 ,tHJ Eleclric Pumps From Curb 10 Building
f'Vc:. Repair
INSIDE WORK
NO. NEW UP, USID FlES NO, NEW REP, USED FEES NO, NEW REP, USED FEES
-
Búh Tub Garbage DllpœaIs Calch BulDs
Waah Buiø Dllhwuhen Conductors
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Water CIONI Laundrama.ll Gre... Cateh BuÙUI
-
SID1o: Water Softeners Sump Pump 8c Ejeclors
Water Hoato.. Sanilary Bubblers Bar and Soda Wastes
Shower Ba!bo Urinall
noor DraIDs Denial Cuspido.. - r
- -
Leundry Tubs Service Sinks
IlIIIP8CIions Valualion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permil and Inspeclion Fees
----------------------------------------Oullfde $---¿¿QtJ.._:_-~--------------------------------------- -------J--~----_--Sewer Fees
-----------------------------------------------------Inside :::::::J:::~::::::::; Fees
----------y~~~:-:--------- $------------- ----------------------------------------------
--- ------ --------C-'¡Y--T;~;;~;~;-----------------------
--- ------------- ~iøaI OK $--------------------------- ---------------------------------------- Dale 9- ;(Li 7{;,
In the performlnce of this work the undersigned owner (or his luthorired 1gent) of ,"id preml,e, and his luthorized Plumber hereby agree to be bounden by and
submit to III statutes, city ordinances, and rule. and regulltion, prescribed by the Board of Public Works for the government of Plumbers.
II I. futher Igreed by the undersigned thlt no other use. will be made of the above connection. except a, hereinafter listed.
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PlumbIng In.poctor'£>.¿) ,
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