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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<1. 246
9-Y.1LhC~l zdL"4L..9i~__- :at. j£1.1~~ 4
Dat. I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
ø.....
of
Plumber
NIW SIWEI WATEI STORMS FEES FEES RElAY S. SEWER WATER STORMS fEES
From Main to C...b Seplic Tanks From Main 10 Curb
From C...b to BoUdin; 4'/1; J< e ~ Electric Pumps From Curb 10 BuUdlng
Repair
INSIDE WORK
NO.
NEW
USED
NEW
REP. I USED
NO.
USED
FEES
NEW
REP.
fEES
,"ES
NO.
UP.
Batb Tub
Garbage Dilpen!s
Dilbwuben
Caleb BulDs
Conducto..
Wall Buin
-,-
Water Cl_t
Laundramals
Gre... Catcb BulDs
f--
SbIk
Water Soft......
Sump Pump Ik Ejeclors
Water H.ate..
Sanitary Bubblers
Bar and Soda Wulas
Sbo....Batbs
UriDals
noor Dram.
Denial Cuspidors
Laundry Tuba
Iaoped!ol18
----------------------------------------___----Oulside
----------------------------------------------------Il18ide
Service Sinks
Fee Verified. Receipled and Recorded
Received Permit and Inspecllon F88I
3ðV
------------_:-------------5ower F...
--------..I.:---~----Plbg. Fees
------L';i~__~--Total
Dale ..5'-"/,. 71
Valuation of the Work Herein Described
$---_.:1.::rÞ.:_-~---------------------------------------
$--- -------------------------------------------------------------
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---------------=1:;1:-----------------------
.fi!.-¡;j .tlK--'¿Ú:..Pl Final OK
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City T,...u,.,
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 ell statutes, city ordinences, and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned thet no other uses will be mede of the ebove connections excepl as hereinafter listed.
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