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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8532
J~ ~ Name ~ Sireet
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.1 Lot 11'0. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Dale
NIW SEWEll WAIEII $IORMS FEES ,",S REtAY S- SEWER WAIER $IORMS FEES
From Maia to Curl> Septic Tank. From Mein to Curb
From Curb to allUding Electric Pumps From Curb to Building
Repeir
INSIDE WORK
NO.
NIW
UP.
USED
FlES
NO.
NEW
REP. I USE.I~I NO-
NEW
REP.
USED
FEES
B8tb Tub
7
3
:]
IbZ
I
Bar and Soda Wast..
) o¿
[JOo
~
~ ac
-,-,-
Garbago Diøpor¡o!s
C- BulDs
I-
Wuh Buill
DWtweben
Conductors
-,-
Waler Cl_t
Laundramais
G,euo Caleb BeiDa
7
SIDJo:
J (fa
Wale, Softene..
Sump Pump 8< Ejecto..
I. ðD
Water Heate..
Sanitary Bubble..
Shower .BaIbs
Urinals
Floor Dralna
7
Dental Cuspido..
/ ð6
Laundry Tubs I I I I I I Serrico Sinks
Inspsctio.~~~ h~ VaJ¡aation of tho Work Hereill Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
-------.J.. ~.." ~_OUtside $-->1 C; Ô X Õ" 0'" ----------.------mSewer Fees
Y/J-..(i ------'j-----_v._--------------------------------- L d-- 00.
==-..:.i.:&4f2R_-_Insid~ $---------------------------------.--------- ------------------------Ci¡:¡Ÿr...~;;;;-_m______---------- ::jj:i:ð:Q.~- P;::-s
--~%---F1na1 OK: $______m______-----------______m______m____~ Date j' A)ß J
In the perlormance of this work the undersigned owner (or hi. authorized agent) of said premis.s and his outhol'Ïred Plumber hereby agree to be bounden by and
submit to all stalutes, city ordinance., and rules and regulations prescribed by the Boord of Public Wor 0'. the government of Plumbe...
It Is futher agreed by the undersigned that no other use. will b. mede of the above <onnections e ept as herein
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