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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8186
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l.LotNO. I Block I Ward I Addmon or ileplat
OUTSIDE WORK
Did.
NIW SEWEll WATER STORMS lEES ,.ES REtAY S. SEW" WATER STORMS FE"
From :MaID to Curb Seplic Tanks From Mai.n to Curb
FIom Curb to Bui1cUng Electric Pumps From Curb to Building
Repair
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INSIDE WORK
NO. NEW UP. USEO FlES NO. NEW REP. USED lEES NO. NEW REP. USED "'S
1- - - -
Bath Tub Garbage DillpooaIs Catch Bulns
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Wuh Bum Disbwuh.... Conducto..
1- - - - -
Wider Clooot Laundramldll arease Cldch Bill","
SIIIk Wider Softeners Sump Pump 8< Ejectors
-1-- c-- -
Water Held... Sanitary Bubb1en Bar and Soda Wasi...
Bite.... JIIdha UrIDaiII
Floor Dralrul Dental Cuspidors
I -
LaWtclry Tubs Service 5mb
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IuspadioliS Valuldion of the Work Herein Described Fee VerifiecL Receipted and Rocorded Received PGrmit and Inspeclion Fees
. ----.---.-.-- -----Outside $---~-,---~-_._------------------------ -__....L__~_._-_Sewer Fees
---------------------IIiS1de -----..--.-----.-----Plbg. Fees
$-----------------.-------------..----------- ---------L-~---Total
- l7i~fl53~ 0; $--------..----:...-------------------- _m______------------"Cliÿrmw;,-;_____m____- Date .:if -- /'1 7.5 -
In the pe.-formance of this work the undersigned owner (or hi. authorized agent) of .aid preml.es and hi. authorized Plumber he.eby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribsd by the Board of Public Works for the government of Plumbers.
It Is futhe. agreed by the undersigned that no other uses will be made of the ahoye connections except as hereinafle. listed.
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