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PLUMBING PERMIT - Oshkosh, Wisl::onsin Permit N? 8372
Name /}j .~ jl. ~ Name ~ ~ / V Slreet C:::J.' }ì
PI~r ~71~----: ~:"7- -----:?"jL- 'o~erLL~.Ju'!'¿¿:~.d,¿k:::t'!~:'?:i'!o_~----t:4JJd.-~ N='ber __.!9"ir:2_-~fib;tlæ-;¡;;£~_~
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Data ~_otNo. Block Ward Addilion or lIeplat
OUTSIDE WORK
NEW SIWEI WATER STORMS FEES ""S RI'AY S. SEWI. WATI, STORMS '"ES
From MaiD to Curb Seplic TaDks From Main 16 Curb
~m ClUb SO DuUdlng J/.1 (l~' ¡"~ !ß!!- Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
UP. I USED I FIlS I NO.
'""S
NEW
NIW
RIP. I usia
filS
NO.
NIW
RIP. I USI.
Bath Tub
Carbag.. DilpcoaIs
Calch Basins
Wuh Basiu
Dilbwuhe..
Conductors
-,-
Water CIoøt
Lalllldrama.18
Crease Caleb Basiue
SIDk
Water Softeners
Sump Pump 8< Ejectors
Water Heate..
SiLower Batlu
Sanüuy Bubble..
UriDIIIa
Bar and Soda Wasles
Floor Draiue
Dental Cuspidors
Lalllldry Tuba
IDlpllCtiona ---.-----OutaicIe
~='::::~~--=----:::=~~-=----_Inaide
Service 5mb
Valuation of the Work Hereiu Described
$ ---,;;j¿J;:D_:_~~_------------------ .-----_.
$-----------------------------------------..---------
$------ ------------ --.- ----- ------ --------------
Fee Verified, Receipled and Recorded
Received Permit and Inspection Fees
___..__d_:_~_Sawer Fees
______l~--~__PIbø. Fees
._-----~.~-Total
--'
Date Z-j- ?-Ç
- 77~--;~-;;;
-""--------------------,:-,;Ÿ-im-õ;;ë;--------------"'-'
In th.. ""rformanc.. of this work the undersigned owner (or his authorized agent) of said premi.es and hi. authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Pubiic Works for the government of Plumbers.
It is futher agreed by theund..rslgned that no other uses will be made of the above conneolions except aa hereinaFtor listed.
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