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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8047
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LL_o1 No. -I Block I Ward I Addition or Replat
OUTSIDE WORK
Dùe
NEW SEWER WAtER StORMS FEES FEES RElAY S- SEWER WAIER StORMS FEES
Fzom MaIn to Curb Seplic Tanks From Main 10 Curb
Fzom Cub to BuDding Electric Pumps F~om Curb 10 Building
Repair
INSIDE WORK
NO.
NEW I REP. I USED I FlES I NO.
FlES
NEW
REP- I UsED
FEES
NO-
NEW
REP. I USED
:Bath Tub
Garbage Dilpon!a
Ca!eh Basins
Wub Basm
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Dishwashen
Conduelors
-,-
Water Cbot
SIDk MdÆnr
Water Heate..
Laundramats
G~e- Catch Basins
7
'/-<10
Wate~ Softeners
Sump Pump 11< Ejeelors
Show"" BathR
Sanitary Bubble..
Urinals
Bar and Soda Wast..
Floor Drahls
LaUDdr]' Tubs
Denial Cuspidors
Servlœ 5mb
IDSpadIolI8 ------------Oulside
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va#ion of the Work Herem Described
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Fee Verified. Receipled and Recorded
Received Permit and Inspection Fees
;;;.---------------..sewer Fees
::!l@----.PIbg. Fees
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Date j- .;[ 7 7.s:
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In the performance of this work tho undersigned owner (or hi, authorized agent) of said premises and hi, authorized Piumber hereby ograe to be bounden by Md
submit to all statutes, city ordinance,. end rul.. and regulation, prescribed by the Board of Public Work, for the government of Plumbers.
It i, futher agreed by tho undersigned that no other use, will be made of the above connection, except as hereinaller listed.
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Plumbing Ino....,.,
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