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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 543
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1 Lot No. f Block \ Ward l-¡;¡dilion or Replal
Dale
OUTSIDE WORK
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NEW SEW" WATER STORMS lEES FEES RELAY S. SEWER WATER STORMS "ES
From Main 10 C...b Seplic Tanks From Main 10 Curb
FIom C...b 10 BuDding Electric Pumps From C...b 10 Building
Repair
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, I USED I FIE. I NO. =======-
NO. NEW .... NEW .E.. USE. FEES NO. NEW RE.. USE. FEES
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Bath Tub Garbage Dilpoaa!s Catch BolDs
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Wuh Boin Diahwohers - Conducloro
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WalK C_I LaundramalS Greue Calch BolDs -
SID1o: Waler Soflenero Sump Pump 8< Ejeclors
Water Heale" Sanitary Bubblers Bar and Soda Woles
ShOWK BatU Urinals 'J14n/ '.. ---:;;P; /, (It:)
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noor ])raIDs Denial Cuspido" 1-- 1-
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Laundry TubI Service Sinks
InspacliolUl :£:~--=:r:--:~re_:_::::=: Fee Verified. Receipled and Recorded Received Permü and Inspecllon Fe..
---..---.--..-----.----.------..---..---.__--._Oulside -------------.---------._---Sewar Fees
-..---...----..---------.-----------.---.-----_---__Inside -..idl..Q.-------_.._Plbg. F..s
----------.-..---..-----------------..---------- $-------------------------------------------------------------""---"-- j,--~_o.-_--------..Tolal
----------..--..------..---FiDal OK $--------- ---------------------'----E;íŸ-T;.¡;~;.;------------"-----------' Dale 7 /.:z 7/7 -;1
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agr.. to b. bounden by end
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INSIDE WORK
In the poriormance of this work the und.rsigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agr.e to b. bounden by end
submit to all statutes. city ordinance,. and rule, and regulation, prescribed by the Board of Public Works for the government of Plumbers.
It I, futh.r agreed by tho undersigned that no other uses will be made of the above connection, ex,
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