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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8701
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'-Lot No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Dale
Naw sow.. WA'.. S'ORMS ;,1 '.ES ,..s ..tAr s- s.w.. WA'.' STORMS ,..S
From MelD to Curb ~ ~- -oep!ic Tanks From Main 10 Curb
---
FIom Curb, to Bu11d1nø }< Electric Pumpa From Curb !o Building
Repair
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INSIDE WORK
NO.
NEW
RIP- I USED
FEES
NO-
NEW
'.P- I USE.
'E.S
NO-
NEW
UP-Ius..
...S
Beth Tub
Garb"g" Diapooals
Catch Bum.
Wub BuiD
Diabwlllhers
Conductors
W- CIONt
SIDle
Gre..... Cateh Basi....
l:tço
LauDdJ:-
Waler Softeners
Sump Pump II< Ejec!ors
Wale. Healers
It
Bar and Soda Was!...
I LJ- (1'
~
SlUiliuy Bubblers
UrlDo.Is
Sh...... Balha
FlO<>r Draliia
La",,'" Tubs
If
Dental Cuspidors
[JLa
Service SiDb
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$--------------------------------------------- City '"",",e, Date 1/ /'f/JI,ð,,------
In thl> performance of this work the undarsigned owner (or his authorized agent) of soid premises and his authorized Plumber heraby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for tho government of Plumbers.
It Is futher agreed by the undersigned th.t no other use. will be made of the above connections except as hereinafter listed.
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CERTIFIcÅTE OF COMFLIANCE WITH,
IC? / - IG?7 (Y1ofl'C!-°r:
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STATE OF _"":~~.?S!~~~E~___---_----------
PLUMBING CODE
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, j hereby certify thát all of the plumbing in bath core serial no. ---~~~-----------
installed within aWausau Home£Sin accordanÎ:'e with the State of --_:~~'2CJ.'!.~~~--~-,--
Plumbing Code. Also/that the drainage and vent piping has been tested with 20 pounds
air pressure for a period of Yz hour. The water supply piping has been tested with 100
pounds of air pressure for a period of Yz hour.
This work has been done under the direct supervision of -_2':!:":!~!~":I..S:.:_!!32J?~"---_,
----------~-,-,--------~~liceT!sed master plumber, license no. W£S. 2699,;.Minn,
1951- Burlington, Iowa 196 - Ottumwa, Iowa 36 - Masò"n City, Iowa 5422,
date ____.:'5.!'~;.!:>.5'L]..?_L]--,~';:.._-------_.
SUBSCRIBED AND,~,,!\ORN 'I,#>, ,B~FOREMB THIS
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SIGNATURE./ '
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Y'UBIJC
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Trr,LE
WITNESSED BY:
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RALEIGH FISHER - MAST"R
PLUMBER #2699
STATE OF WISCONSIN -
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