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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'; ~913
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I Lot No.
I Block I Ward
OUTSIDE WORK
I Addition or Replat
Date
NEW SEwn WAtER STORMS FEES fEE. ."AY S- SEW'. WATER STORMS FEES
hem MaID to Curb Septic Tanks From Main to Curb
From Curb to BuUd1nø Elecuic Pumps Fro", Curb to Building
Repair
INSIDE WORK
NO.
RIP- I USED I "E. I NO-
FEES
NEW
NEW
REP- I USE.
F'ES
NO-
NEW
REP.
USED
Bath Tub
7
j
7
Bar and Soda Wastes
I/ð-ú
~
~
,-
GarbagoDIapoWs
Catch Basins
I--
Wub Buin
Dishwuh...
Conductors
7
I/c<v
,-,-
W- Clooet
LaundramalJ¡
Graue Catch Bulns
/
SIIIk
I/,H)
Water Softeners
Sump Pump 8< Ejectors
Water Heaters
Shower BatIuo
Sanitary Bubblers
Urinals
noœ Drùne
Laundry Tubs
I
1/10
Dontal Cuspidors
Service Sinko
¡napactio".
---,;-/;-::---1.------------- Outside
--,.):J.J..w.. ,4'--------_Inaide
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V#ï,ûdð:h~ :ork Herein Described
$---~-------_.__...__..._-----------------------------
$...------.-.--------...------------------------
$-----...---------------------...---------------------
Fee Verilied. Receipted and Recorded
Received Permit and Inspection Feee
----~-õ=O---Sewer Fees
-4--L...-___Plbg. Fee.
--ß¿:q----- Total
Date /?~.3 7S-
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his aulllorized Plumber hereby agree to be b
submit to all statutes. city ordinances. and rules and reguiatlons prescribed by the Board of Pubiic Works for the government of Plumbers.
It is tuther agreed by the undersigned that no other uses will be made of the above <onnections except as hereinafter listed.
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~--- - - ...-1119 Inspector
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Plumbo.