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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 8120
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_.8--J£-_: - - ~'-"'-;<-""~"",~,c' o::.er 1Iq;jL..~....í4igi(({u.£~A,;g,j;i;i¿-N=lJei _....Q1dJ...r.*--,gj;,¿.2_..-v.~
Lu:No, I Block I Ward I Adelmon or Replal:
OUTSIDE WORK
Dale
NIW SEWD WAID sroRMS fEES "'S RELAY S. SEWER I WAlE. SroRMS FEES
From MaID 10 Curb ~Q (1-1 /f¥ - ~4,t10 Seplic Tanks From Main 10 Curb
~ Curb 10 BuUdIIIg Electric Pumpt From Curb 10 Building
lIepair
INSIDE WORK
NO. NEW UP. USED HES NO. NEW R'P. USED ",. NO. NEW REP. USED "ES
BaIh Tub GlU'bage Dlllposala Calch Saslna
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Wub Dillin DIIIb..ashen - Conductors
- - - -
WaI... CIONI Laundr- Grease Cal:ch Daslna
-
SIJI!o Waler Softe...,rs Sump Pump iii: Ejectors
WIIIH Heale.. Sanituy Bubblers BIU' and Soda Walles
Sh....... BalbI UrinIIls
FlOO1' Dralna Denial Cuspidors
Launcky Tubs Service Sinks
Iaapecllnaa fü~:- :~:~..::::..::::.:::=:: Fee Verified, Receipled and lIecorded Rec¡ved Permil and Inspection Fees
--..--..--.-....---... ----- ow.ide ....~'<?'.Q.__---Se..er Fees
......----.--.-.....---.----..----Inside :¡¡!i.?~..--_.PJhg. Fee.
--'T7ï1li~-----"---- $....---...........-..-..-...---..-..-....-......--....- D~~:-~F;;;P
-_!1. -.--,....--FInal OK $---------......--...-...-....---------..----....-- """-"--""""""'--c;iÿ"i;;;.~;ë;-"--"'-""--""""
In the performance of this work the undersigned owner {or his authorized agent} of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
It I. futher agreed by tho undersigned that no other uses will be made of the above connections except os hereinafter listèd.
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