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PLUMBING PERMIT - Oshkosh, Wisconsin
11'..... ~. Name /'" ~ Slreel
of ~-----.-- of <:::-., . éVZ~ and 7~<;
Plumber .---.... .' .... ....-..-......-.-..-..-.........-....... Owner .........:.............ß._.....~.~..._.._................ Number ............._.......If...
IZ/~o/ 7£ I I I I
Dale ' 1 Lot No. Block Ward Addition or Replai
OUTSIDE WORK
Permil N~ 9855
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NEW SEwn WATER STORMS FilS filS RILAY S. SEWER WATIR STORMS filS
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From ClUb to BuUcllng Eleelric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RIP. USID "IS NO. NIW "P. USI. filS "0. NEW RIP. USE. FEES
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Bath Tub Garbage Dioponh - Catch Bum.
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Wub Buin Dlshwuhen Conduclors
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Waler CIONI Laundramals Greue Calch Bum.
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Sink Waler Softeners Sump Pump" Ejeelors
Waler Heale.. Sanitary Bubblers Bar and Soda Wules
Shower Baths Urinals
Floor Drains Denial Cuspidors
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Leunclry Tubs Service Sinks
1I1Ipeclionl Valuation of Ihe Work Herein Described Fee Verified, Receipled and Recorded Received Permil and Inspection FOOl
--............---..............-................Oullide $......................................................-..................- ............................Sewer F...
~:::~~£~~==~~~~~ ...../'...c:>~........PIbg, Fees
$..................................-.......-............................... .......L,..PQ......Tolal
$..............~.~.q:.9'~.........._..__............_.- """""""""""""Ò;;¡'T;;;;~;;;"'._"""""""'"... Dale ¡ z,-/.:;"'. /7,6
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 ordinences, and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
II Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinaner listed.
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