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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 215
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Date i; ~ I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
-
NEW SEWn WATn STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tank. From Main to Curb
""'m Curb Ia BulIdlnsr Electric Pumps From Curb to Building
Repair
110.
NEW
FI"
RE'.
USED
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J
3
-1-1
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L
I
¡/
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V
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,tJO
Batb Tub
Wuh BulD
Water Cl_t
Sink
,60
Water Heaters
1/.00
~'ðO
Shower BathR
noor DraIDa
Laundry Tubo
Il>IpectIons
INSIDE WORK
NO.
NEW
REP. I USED
FEES
NO.
NEW
REP.
USED
FEES
Gerbage DIIpooa1a
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It:æJ
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lRfi
I~
Catch BulDs
Dishwuhen
Conductoro
LaundrllDlÙ8
Graue Catch BulDa
Water Softeners
¡
/
Sump Pump" Ejectors
Sanitary Bubblers
Ber and Soda Wute.
Urinals
Dental Cuspidors
Service SlDb
Fee Verified. Receipted and Recorded
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Valualion of the Work HerelD Described
$ .fl.10 p--~~ ~....... ....---- --......-...------ -- --.....-
$.
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Received Permit and Inspection Fe..
........--...--...--........8ow.. F...
.../.~:<..P.Q....Plbg. Fees
.--Ls.~..¡Q.C~..--Total
Date o//;~-tdJ /
.....
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In'the "';rfornlence of this work the undersigned owner (or his authorized agent) of said premises and his authorlred Plumber hereby ag~ee to Le bounden 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 b. made of the above connections..excopt as hereinafter listed.
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