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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 8181
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LI.oI Ko. I Block . I Ward Addilion or lIeplai
OUTSIDE WORK
Dale
NIW SEW.. WATER SfORMS FEES lEES "'AY S- SEWER WATER SfORMS "ES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
Flem Curb 10 BuDding Electric Pumps From Curb 10 Bui1ding
Repair
INSIDE WORK
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NO. NEW AU. USED FlES NO. NEW 'E'- USE. FEE' "°. NEW REP- USO. ...,
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BaIb Tub .2.. [ro-U Garbage DÏllpooaJs ~ ~p-e CUCh Bulns
Wasb Bum I/- ht. 6...0 DiIb....hen "¿,, et&-1: Conduclors
- - - -
Waler Clooet LJ I¡¡trd Laundramals ::L ?JH. Gr....... Cat... Bulns
Sink b 1.-1-tJ'(, Waler Softeners Sump Pump &: Ejectors I I. u--d
Waler H- :) "J. v-v Sanituy Bubblers Bar and Soda Wastes
8ho.... Baths Urillals
Floor DrelDo 02 !)w Dental Cuspidors
Laundry Tubs Service Smks
IupeeilolIS ValuailoD of Ihe Work Herem Described Fee Verified. Receipled and Recorded Receivad Permit and InspeclioD Fees
------------------0u18ide $__,Ji;Icl.Q."-~__-------------------- -------_......_----------Se..ar Fees
-..-----------------Inside ---~-~-~--PIhg. Faas
- ~?;7~_~; $-----------------------...--------...--..----- --~-'--~--TOlal
$----------------------..------------------ -----""'------""'--Cï.yŸm;~;ë;----""'----------"'- DBle .3.. J'7 7..5'"'
In the performence of this work the undersigned owner (or hi. authorired agent) of said premIses and hi. authorized Plumber hereby agree to be boundan 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 that no other uses will be mode of the above eonnections excePt. as hereinafter listed.
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