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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9289
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I Lo.I No. I Block l Ward
OUTSIDE WORK
[ Addition or Replat
Date
)
NOW sown WAtE. STORMS FEES fEES .ILAY s. SEWI, WAtE. STORMS '""S
From Mais110 C\U'b Septic Tanks FMm Main to Curb
From C\U'b 10 BuDding Electric Pumps F~om C\U'b 10 Building
Repair
INSIDE WORK
lID. NEW .... USED liES NO. NIW .1.. USED 'EES NO. NIW .1.. USE. FEES
- - - -
Bath Tub Gubage Dilpon1o CIIIch Bulns
J J'.t6 -
Wuh Buin Dlshwuhen Conductors
- - - - -
Weier CIONI If ~<t Laundnmal8 Gre... Catch Bulns -
Sink Wate~ Softeners Sump Pump II: Ejectors
Water Heaters Sanitary Bubblers Bu and Soda Wastes 3 J',ð(
Shower BaIhs UriDa1s SJ 3.rJiJ
F1oœ ~aIIII Dental Cuspidors I------
- - -
Laundry Tubs Service Sinks
Inspec:tlons Val~ion of the Wo~k Herein Described Fee Verified. Receipted and Recorded Received Permit and In.pection Fees
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S -. .-..-- /-- 00..... 0000.. ..._nm._n ..0000.... ._00...' ./--J".ilð...plbg. F...
s - - ._...-.. ..00_.__00 n 0......-.. 00 .--. -.-- .._0000 ...Y~_4Q_.Total
.000.00 ...........è";íÿ.ÿ;;;;;;;;;....n..n.............n.
-~._- . n.l..._n_-Final OK S _00 - _h....."'. __00 - 00_- _.0.. ..-... -..... __00 ._00- Date (p./D7?
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J}I 7/7 {,
In th. porformanc. of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agraa to be bounden by and
.ubmlt to all statutas. 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 use. will be made of the above connections except as hereinaft" listed.
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