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ERMIT - Oshkosh, Wisconsin Permit N~ 1143
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r Lot No.
Date
I Block I Ward
l~dditiOn or_Re"lat
OUTSIDE WORK
NIW SEwn WAtER STORMS FEES FEES .ELAY S- SEWER WATE. STORMS FEES
FMID MaIn 10 ClLl'b Septic Tank. F~m Main to Curb
FNm ClLl'b to BuDding Electric Pumps F~om ClLl'b to Building
Repair
INSIDE WORK
NO.
NEW
FEES
RE,-
USEO
NO.
FlES
NEW
.E,. I USED
FEES
"O.
NEW
.E,. I USED
Bath Tub
Gubage DÎ8~
Catch Bulno
I------
I. CO
/,CO
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I
I
./
/
Greue Catch Bulno
Wub Buin
Dishwuhen
Conductors
Water CI_I
LaundrllDLlÙ8
SIDk
Wate~ Softeners
Sump Pump" Ejectors
WIÙ8~ Heaters
sanUuy Bubhlers
Bu and Soda Waste.
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I
,/
j,ø
Shower Batlu
Urinals
FloĊ Dralu
Laundrr Tube
Dental Cuspidors
Service Sinks
Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection F-
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I J--7J -7/..,- .:i~ ~-t... $n ml-_L_m--[-----_----m__---___-------_____---m--___--_- ::7,00
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In the performance of this work the undersigned owner (or hi. authorized agent) of .aid premi.e. and hi. authorized Plumber hereby agree to be bounden by ...d
submit to all statute., city ordinances. and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
deroigned that no other uses will be made of the above connection. except a. hereinalter listed.
Inspections
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