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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N:' 8463
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L~~LNOL - I Block I Ward I Addilion or Replal
OUTSIDE WORK
Dale
NIW SEwn WAlE!! STORMS fEES ""5 RElAY S. SEWE' WATE' STORMS FEES
From Mam to Curb .Septic Tanks From Main 10 Curb
~ Curb to BuUd!ng p'fìJ; / // (!J)/ tTf-,Q. ' Elecl.dc Pumps From Curb to Building
I Repair
INSIDE WORK
NO.
RIP.
NEW
USED ~INO.
NEW
R". I USED
FEES
NO.
NEW
REP. I USED
FlES
Bath Tub
Wuh Buill
Garbage DlÆpocah¡
Catch Basins
I-
Dishwashers
Conduclors
,-,-
Wilt... CI_t
LaundrlUllllob
Grease Catch Buins
SIIII£
Water Softeners
Sump Pump 8< Ejeclors
Wale.. Heaters
Sanitary Bubblers
Bar and Soda Wasles
Show"" Batba
U.dnaIÆ
Floor DraIDs
Laundry Tubo
Denial Cuspidors
Service Sinks
IIIIp8CII~ /é fY /'Í> VaI~ion of Ihe Work Herein Described Fee Verified. Receipled ""d Recorded Rec;ved Permit and Inspection Fees
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"""-¡\-7.----_....__.Inside --_.(~--_..._-'pIbg. Fees
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In tho performenco of this work tho undorsignod owner (or his authorizod agent) of said premises and his authorized Plumber hereby egroe to be boundon by and
submit to ell slalutos, city ordinances, and rules and regulalions prescribed by Ihe 8,oar<1 of Public Works for tho government of Plumbers.
It Is futhor agreed by the undersigned thet no ,,¡her uses will be mode of the above connections except a- hereinafter 1i_lod.
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