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Date I- Lot No.
PLUMBING PERMIT - Oshkosh, Wisconsin . Permit N? S:b°
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BlOCk! Ward 1.- A,ldilion or Replat
OUTSIDE WORK
Naw SEWD WAn. STORMS lEES om .EIAY S. $Ew'. WATE. STORMS "ES
From MaIn to Curb Septic Tanks From )\fam 10 Curb
From Cub to Building hi k /'-, - j" e.- if-MJ Elecul. Pumps From Curb to Building
Repair
INSIDE WORK
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NO. NEW RIP. USED ..'S "0. "EW .EP. USED ¡FEES NO- NEW .'P. USED fEES
Bath Tub (;lube!!" DÎEpOIIa!o Catch Bum.
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Wuh Balin Dlshwaahers Conductors
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Wat... CIGHt Launclr- Greue Catch Buinl
SIBIl: Water Softeners 1- Sump Pump 8< Ejectors
Water Heaters Sanitary Bubblers Bu and Soda Wastes
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811010... Baths Urinals
Floor DraIDa Dental Cuspidors
Laundry Tubs Service Sinks
¡lIipectioDi Valuation of the Work Herem Described Fee Verltied. Receipted and Recorded Received Permit and IDipaction Fees
-----------------..------OutIIde ô1/0- o--cJ .._--,.3-,-~---.sewer Fees
$------------ -..-- ---.. -..------------.....---------- ------- __--__L~__plbg. Fees
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---------------- $--------------......------.---------------------.. ----------.2£-~-..Total
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In th. perfomlance of this work th. undersigned owner (or his authorized agent) of s~id ",emls.s and his authorized Plumber hereby agree to be boundsn by and
submit to III sta.lutes. city ordinanc... and rul.. and regulations pros<rib.d by the Board of Public Works for the government of Plumbers.
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It Is futh.r agreed by the undersigned that no oth., uses will be made 01 the above ooonections except as hereindt..- lisled.
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