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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nr: 8660
. AJ /) ¡J Name [) ¡J Street
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I Lol No. I Block I Ward I Addmon or Re¡>ll>L.
OUTSIDE WORK
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NEW SEwn WATE. STORMS ".S ...S .ELAY S. S.W.. WATE. STORMS fEES
From MaID to Curb Septic Taaks From Main io Curb
FJom Curb to BuDding Electric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO. NEW UP. USED ...S NO. NEW .EP- U"D FEES NO. NEW .EP. USED "ES
j - - -
l!Iaih Tub .;:}/O Gubage DiIpo<a1s :J.. d{- (/ Cúch Basins
if. -
Wub BIIÙI £f:. (J, DishwaEhen d -;;!./jO Conductors
f (¡.;a: - - -
Water CI_t Laundramaio oJ Q.áà Grease Catch Bulna
Sink :J. ;2,. C(J Water Softene.. Sump Pump 21: Ejectors ¡ /.,¿;,
Water Heaten :J :J.,OÓ Saniiery Bubble.. Bu and Soda Wastes
Shower Baths u-
Floor Draine :;¿ ;:¿AJt Dental Cuspidon
Leundry Tubs Service Sinks
IDlpe(:tiolUl j!uation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
.. ----.,Çfj'j:-..____m ----- Outside $ .S-£. Q-C)-¿_J!J2...._--_.. --....-...-- .---..--......----Sewer Faes
_......./Lil2./:..'ì.S:- -_..___-Insiele ...._~_£C>"'pJbg. Fees
.._-~~=----;~ 0; $-..----.........--..-..--..------------..--....-..-... .-2..?../-û.ð..Tol
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In the performance of this work the undersigned owner (or his authorized age.nt) of soid premises and his authorized Piumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned thet no "ther uses will be made of the above connections except as herein.fter listed.
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PlumbIng Ino,....,
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