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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1822
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,- Lot No. I Block I Ward Addition or Replat
lI'ame
of
Plumber
Dllie
NOW SEW" WAtER STORMS FEES FEES RELAY S- SEWER WAtER STORMS FEES
From MaIn io Curb Septic Tanks From Main io Curb
~ Curb to BuDdin" Electric Pumps From Curb io Building
Repair
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1.
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1.
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NO.
u,. I USED I IRES I NO.
NEW
Bath Tub
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';2. --- L
Wuh BaiD
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Water Cl_i
SIaIr:
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V
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1/
1/
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E
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Wilier Heaten
Shower BIIihI
Floor !)raIDs
La\lJ1dry Tubo
IDipactioDi
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OUTSIDE WORK
INSIDE WORK
NEW
REP. I USED
fEES
NO.
NEW
REP.
USED
FEES
Garbage Diapooa]a
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Caicb BuiDs
Dishwahers
Conducion
LaundrllDlaitl
Gre... Catch BaiDs
Wilier Softeners
j
Sump Pump 8< Ejeciors
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Sanitary Bubblen
UrlnaJa
Bar and Soda Waies
Denial Cuspidors
Service SiDks
Valuation of the Work HereiD Descrll1ed.
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$-
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Received Permit and Inspection Fees
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Daie /¿:¿þø/z/
Fee Verified. Receipted and Recorded
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authori,ed Plumber hereby agree to be bounden by ond
submit to all statutas. city ordinancas. and rules and regulations prescribed by the a""rd of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other usas will be mode of the above connections except as hereinafter listed.
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