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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8720
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LI.oJNoo I Block I Ward I Addilion or Replat
N-
of
Plumber
Dille
OUTSIDE WORK
NEW SEW" WATER STORMS FEES ..'S ."AY S. s.w," I WATE. STORMS ...S
From MaIn to Curb Seplic Tanks From Main it> Curb
~m Curb to BuDding Eleclric Pumps Frt>m Curb 10 Building
Repair
INSIDE WORK
NO. NEW RE'. US!ED FIn NO. "EW .'P- USED FEES NO. N'W ..,. USID ..IS
~
BIIIh Tub Garbaga DiIpooaIa Catch BasIwI
- -
Wub Bum DiJlhwuhen Conduclors
-
Wilier Closot LaundzllDlllls Gre..... Clllch Bulns
SIIIlI: Wilier Sofleners Sump Pump Be Ejeclors
Watsr Healers Sanitary Bubblers Bar and Soda Wasles
Shower ,Baths UriJlDls /AI/>I /Y /#5? ~O(
!?f'j>(J /1'..5 /
Floor Ðrellls Denial Cuspidors
Laun.s.y Tubs Service Sinks
IDlped!oDl Vjf,lIIion of Ihe Work Herein Described Foe Verified, Receipled and Recorded Received Permit and Inspeclion Fees
~-~ -'--7;7TO-------Sewer Fees
..--. '.L 1'). ----_-InIide $--__~.Q_dL9._~__------_..__._---_.._-------_..._-
,:#-...---------Plbgo Fees
-_3.ß:J.. -.------- $-.-----------------------------..------------ _2!!SL...--__- Total
- 2 -------F1nal OK $-------..-------------------------------- -------"---------'----CïtŸ-Ýr...~;;;-----'-------"'------- Dale /1-d6"7~
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In the performance of this werk the undersigned owner (or hi. authorized agent) of s.id premls.s and hi. authorized Plumber hereby agraa to be bounden by and
submit to all statutes, city ordinances, end rule. and regulallons prescribed by the Beard of Public Works for the government of Plumber..
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