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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8557
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Dat. - Lot~NO' I Block I :ard I Addition or Replnt .
OUTSIDE WORK
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Naw slwn WAIER STORMS 'EIS ,,"S RELAY S. "WE. WAlE. STORMS FEES
From MaiD 10 Curb Septic Tanks From Main to Curb
FIo... Curb ~ Bu1IdIng Elec!r;c Pumps From Curb to Building
Repair
INSIDE WORK
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NO. Naw UP. USED FllœI NO. NEW "P. "SE. FEES NO. NEW REP. USE. FlIES
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Bath Tub I 1/..0 Garbage Dløpooak Catch Basins
Wuh BuM / I. <KJ Dish.....h.... Conducto..
- - - -
Wat.. CI_t I lu'tJ Laundl- Gre..... Catch B...1ns
SInk / II. ù<I Water Softe...... Sump Pump 8£ Ejectors
Water Heate.. Sanitary Bubblers Bar and Soda Wasles
811.<>..... Batb8 Urinals
n..... Dr'" Denial. Cuspidors
Laundry Tubs Service Sinks
IlIIpectiolll Valuation of the Work HereM De.cribed Fee Verified. Receipted and Recorded Received Permil and IlIIpectioD Feeo
~-= 500- ,>-(; ~'---'~'--'?;::;:;r~-.Sewer Fees
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- O- ~~------FiIIaI OK: $ ~--...--.~ ~-~ ---- --- ...-- ---- ...~~...-.~-_._-~._--~- Date "l- 1..2 . 7-S-./
In th" perform.nce of this work the undersigned owner (or his euthorired .gent) of .aid preml.e. end his authorized Plumber hereby agr.e to be bounden by end
submit to all statutes, city ordinancos. and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the abo"o connections except a. hereinaftor listed.
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Own.. 0' .....,... Of hi. "tho",ed ...., ~~~---.
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Plumbing In'_LÞ.ß ,
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