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PLUMBING PERMIT - Oshkosh, Wisconsin
____--d~E____~______m______-- ::!:r ---__~~__h_~m_---_--__----------------
I Block I Ward
Permit N? 8711
Slreet
N::'OOr --I::f"------_/Y_---~-------------
r Lot No.
I Addiiion or Replot
Did.
OUTSIDE WORK
NEW SEWn WATER STORMS fEES 'EEs RElAY s. SEWER WATER STORMS FEES
F- MaIn 10 Curb Seplic Tanks From Main to Curb
From Curb to BuI1dInø Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW I UP. I USED I FEES I NO.
FSES
NOW
REP. I USED
"'S
NO.
NEW
REP. I UsED
Bath Tub
Wuh Bum
Gubago DilpoøaJs
Calch Blllw
,-
Dilhw...hers
Conduclors
-
Wid." CI_t
SbIk M:IJßßy
WlliRr Helders
Laundreml!b
Gre.... Catch Bullis
Ii
I
f,ò6
/- 00
Water Softeners
Sump Pump lie Ejeclors
Sanitary Bubblers
Bar and Soda Willies
Sho...." Baths
FICO!.' :Drains
Urinals
Denial Cuspidors
Laundry Tubs
Service Shllm
Iuspectious
-------;:-/-, --~-- -m------Outside
-------2.(.~ .25...___--IDBide
----$',fLS:< ::¿S'._-----
-_':""_------------F1DaI OK
Vj!,ldi~ of the Work Herehl Described
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$-----------m______-------------------------------
Fee Verified, Receipled and Recorded
Received Permit and Inspeclion Fees
Jt.---_--hm----Sawer Fees
_d:...Q.D.-_-PIbg. Fees
~_ë2..--Q¡S1---_Tofal
Date /./~~S--
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In the ""rformance of this work the undersigned owner (or hi. authorired agent) of said premises and his authorized Plumber hereby 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 gl>v<>rnmont of Plumbers.
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