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PLUMBdRMIT - Oshkosh, Wisconsin Permit ~4
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NIW SEwn WATE' STORMS 'EES FEES .ELAY S. SEWE. WATE' STORMS FE"
From MaIn to Curb Septic Tanks From Main to Curb
FIom Curb 10 BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USID FlES NO. NEW 'EP. USE. FEES NO. NEW UP. USE' FEES
II, ¿-e, ~ - -
Batb Tub I 1,¡¡-tJ Garbage Dioponbo I Catch BasinR
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Wub Basin :Iv ,.þÒ Dishwashers I L!!!. Conductors
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Water Cloeet ;;... j . /»U Laundrama18 I l.ðV Graue Catch BasinR
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SID1o: I J. tl-C) Water Softeners Sump Pump II< Ejectors I ;.t)
Water Heaters I ).W sanUary Bubblers Bar and Soda Wastes
Shower Batha I Ire) UrlDals -
Floor Dralu I I.c-f. Dental Cuspidors
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Laundry Tubs Service Sinks
I...pections Valuation of the lJðk Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe..
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$-...----.............--....----............--.--.........-.-..------- m...... ""'-""""'ë"iiÿ'T;è.~ù;.;"""'----"--"----'.". Date 11-- F 7 ("
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In the performsnce of this work the undersigned owner (or his authori.ed agent) of said premises end his authorired Plumber hareby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
-- 1er listed.
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