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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8533
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LL_o1HO. I Block I Ward
OUTSIDE WORK
Date
1.- Addition or Replat
HIW SIWEI WAIER STORMS fEES FEES RE'AY 4 WATER STORMS FEES
~ Main to ClUb Septic Tanks From Main to Curb
nom ClUb to BuUdIng Electric Pumps From ClUb to Building
Repair
INSIDE WORK
NO.
HIW
Z
~
~
7
REP.
USEO
FIES
/7JC
~
RO:.
Pi
NO-
NEW
REP- I USED
FEES
NO-
NEW
REP.
USED
FEES
Bath Tub
Wuh SulD
Garbage DillponIs
Catch Basins
I-
Ifl=1=~~;
D!llbwub....
Conductors
Wat... CIONt
Laundram&18
Grease Catch Sulns
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Sink
Water Softeners
Sump Pump 8< Ejectors
Waur Heate..
Sanitary Bubblers
Bar and Soda WUles
Show... Batbs
Urinals
F1oœ Drains ~-...J ~ Dental Cuspidon
~ LeUJI.c!!y Tubo ~ Sem.. Sinks ~ '---------'--
¡~ l1li ~ vall. ....... w~................ - v...... .....,............. ...r 'I and ¡lIIIpeclion Fees
- -- -~------__----Outside $ -2 J.>. ^ IS .., -- CSewer Fees
. 2 .../ . --- ----y-/----I,,).-J.J,--"-------------- - rJ
- - ----------wiele - - -"PIbg, Fees / ,J... 0 0
. $------------------------------------------------- . T I
~ ------..-=---- ~. '~..3~ / ;t;;'ßO
Z2:/-25----F1nal OK: $-------------...-------...-------- Date . Y
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In the performance of this work the undersigned owner (or hi. euthorl.ed age.nt) 01 .ald preml.es and i. authorized Plumber hereby agree to be bounden by and
submit to all statute., city ordinances, and rules and regulation. pre.cribed by the Boerd of Public Works or he government al Plumber.,
It I. luther agreed by the undersigned that no ather use. will be made al the abave <o,mection. exce t a.
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Plumbing In.......'