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PLUMBING PERMIT - Oshkosh, Wisconsin
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Dale Lot No. Block - Ward
Permit N? 8130
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Addition or Replat
OUTSIDE WORK
Naw SEWEll WATER STORMS 'EES FEES RELAY S. SEWE. WATER STORMS 'EES
From M.m to Cusb Septic Tanks From Main to Curb
I'zom Cusb to Builcllnø Electric Pumps From Cusb to Building ¡/
Repair II/- rJ (j
INSIDE WORK
NO. I NEW I RIP. I USED FlES NO. NEW REP. USEO FEE. NO- NEW REP- USED ,...
Bath Tub Cubag" DiIpoaa1s Cúcb Silins
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WISh Bllm Dishwashers '- Conductor.
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Wat. CIONt Laundr- Grease Catch Bllms
SbIk Water Softener. Sump Pump" Ejector.
Waler Heate.. Sanitary Bubble.. Bar and Soda Wlltes
8110...... Baths Urina1a
Floor DraIDs Dental Cuspido..
Launc!ry Tubo Service Sinks
IDlpect1ons vallon of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
---.--------------OutIIde $--._._~g~..Q--~._-----._-_._-_._._-------- 'jf---.-----.----.--Sewer Feas
---..--------------.-.-------Inside .:J;:.Q.íl---...--:Plbg, Fees
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--L~-j~--F1Dal OK $------- ---.------ -- ---.-. --.--- '-------'-'-'-- Date ;Vay/,>~
In the performance of this work the undersigned owner (or his authorized agent) of said premises and hi. 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 government of Plumber..
It I. futher egreed by the undersigned thet no other use. will be made of the above connections except a. hereinafto. Ii.ted.
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PlumbIng Ino_.
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