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Date
PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nt,? 218
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<}/2.v/7 7 I I I
/ Lo.I No. Block Ward
OUTSIDE WORK
Name
of
Plumber
I Addition or Replat
NEW SEW" WA"R STORMS FEES FEES RElAY S. SEWER WATER S'ORMS FEES
From MaIn to Curb Septic Tanks From Mein to Curb
""'m Curb to Building Electric Pumps From Curb to BuUding
j¡J,~ £A~~ I/,ot> Reprir
INSIDE WORK
NO.
NEW
REP.
NO.
NEW I iEP. I USED
FEES
NO.
NEW
REP.
USED
fEES
USED
flES
-,~,-
Bath Tub
Garbage Dilponh
Catcb BolDs
Wrsh BolD
Dlshwobers
Conductors
Water CIONt
Laundrama18
Greue Catch BrsIDs
I--
SIDk
Water Softeners
Sump Pump 8< Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wotes
Shower Batha
UriDa1a
FIoĊ DraIDa
Dental Cuspidors
Laundry Tubo
Service SInks
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Valuation of tbe Work HerelD Described
(!)O
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$
e
Fee Verified. Receipted end Recorded
Received Permit and Inspection F...
---.----------------------58wer F...
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---.I......_C-!._t2.__-----Total
Date 'l /þ.-J;/7 /'
=31¿il7.7-.--------_------FiDal OK
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In the performance of thi. work the undersigned owner (or his authorizad agent) of ..id prem/.es and his authorized Plumber hereby agree to be bounden by and
submit to all .tatutes, city ordinance., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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