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" PLUMBING PERMIT - Oshkosh, Wisconsin Permit N':' 8605
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I Lot No. ' I Block I Ward I Addition or Replai
OUTSIDE WORK
Dille
NEW SEWER WAIER STORMS FEES FEES R"AY S. SE""R WATER STORMS FEES
From Ma1D to Curb Septic Tanks From Main to Curb
From Curb io Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
US"'l-!!~1 NO.
I Db
/6"
It)()
NEW
R'P. I USED
FEES
NO.
N'W
REP. I USED
FEES
Bath Tub
Wuh Bum
7
I
¡
Garbage Disposals
Catch Basløs
Dishw...hen
Conductor.
7
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Wat... Clo8et
LaundremaU
Grease Catch B...ins
SIDk
/
/Vð
Water Sefteners
Sump Pump II< Ejectors
Wilier Heate....
-
/
Bar and Soda Wastes
/ &6
Sanitary Bubblers
Sho..... Baths
UriDals
Floor Dralraa
LaUDdry Tubs
/
Dental CuspidDrs
/ (Jb
Service Sinks
¡~Z ~ Valuation of the Work Herein Described Fee Verified. Receipted. and Recorded Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his authorized a9<'nt) of sold premise. and his outhorired Plumber herehy agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the 1I~."d of Public Works for tho government of Plumbers.
It Is futher agreed by the undersigned. th.t no other uses will be m&de of the above connections except as hereinafter listed.
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PLU!1BING
I HEREBY CERTIFY THAT ALL OF THE PLUMBING IN THIS
MILL-CRAFT HOME. BUILDING NO.
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IS IN ACCORDANCE WITH THE STATE OF WISCONSIN
PLUMBING CODE.
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Signature
Title
I HEREBY CERTIFY THAT I HAVE INSPECTED THE ABOVE
NUMBERED JOB AND TO THE BEST OF MY KNOWIEroE FIND
IT TO BE IN COMPLIANCE WITH THE ABOVE CODE.
Inspected bY:7J"..u~ P.AJ'~
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Title
Subscribed and Sworn to Befcre Me This
~:9' a-/ Lay o~ ~
~~.~~ Notary Public
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My COD\J!1:\.ss:\.óÎÎÊxpÙ'es.
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