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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8694
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I.Lot No. I Block I Ward I Addilion or Rcplu-
OUTSIDE WORK
DUe
NEW SEWEll WAYER STORMS FEES "'S RELAY I S. SEWI. WATER STORMS FEIS
Fzom MaiD 10 Cub Soplic Tanks Frem Main 10 Curb
FIrom Cub So Building J '. d' - } '. <2..- ~ Elactric Pumps From Cub 10 Building
Repair
INSIDE WORK
NO. NEW l1li'. US¡) I'I!IS NO. NIW REP- USE. '""S NO. NIW REP. USE' FEIS
Bath Tub Garballe Diapo<ak Caleb BRBi....
i---
Wub Bum Diabwuh.... - Conducto..
- - - -
Water Clooot Laundt- Greue Catch B",,1Ds
SbIIc Water Soflener. Sump Pump 8r: Ejeclors
Wilier Heate... Sanitary Bubble.. Bar and Soda Wules
Sho",.... Baths UriDaIs
Floor DraiDs Denial Cuspidors
Laundry Tum Serrice 5mb
Iaspedions Valuation of Ihe Work Herem Described Fee Verified. Receipled and Recorded Received Permil and Inspeclion Fees
------------- --- -----Outside $--_dJ2.fl___~__.-------------------------- ---~:_-~---Sower Fees
----------------------Inside ____L__:::?___PIhg, Fees
--J~'i5~------ $-.--------------------------------------- -----4--~q__Total
- ----~O~----F1DsI OK $------------------.--------.----------------------- -----------'-----cï,ÿ-ÿ;uw;;------- Date //-/.3'. "7..5-'
In the periormance of this work the undersigned owner (or hi. authorized agent) of .aid premise. and his authori,ed Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and rsguletions prescribed by ,he Boord of Public Works for tho government of Plumbers.
It Is futher .grsed by the undersigned that no other use. will be mode of the above connection. except o. hereinafter listed.
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