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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<! 9869
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I Lot No. . I Block I Wa.d I Addition o. Replat
OUTSIDE WORK
Date
NEW SEWEI WATER STORMS 'EES FEES RElAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic TankE From Main to Curb
FJom Curb 10 Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
110.
NEW
"P.
fE..
USED
fEES
NO.
NEW
REP. I USED
NO.
fEES
NEW
REP.
USED
Bath Tub
Garbage Diopola!s
Cateh BulnR
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Wub Buin
Diobwuhen
Conductors
WalK CIONt
Laundramaltl
Gre... Catch BulnR
f-----
SIDk
Waler Softeners
Sump Pump 8< Ejectors
Wata. Heale..
/
Bar and Soda Wutes
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Sanitary Bubblers
--,
Show.. Baths
Urinals
Floor »raIDs
Dental Cuspido..
Laundry Tuba
Service Sinks
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v:;zw~ thð-)5°rk Herein Described
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Received Permit and Inspection Fees
-------_n_---Sewer Fees
Zë-/~.QCl.hPlbg. Fees
,¥"-/-~-h~_h-Total
Date J.:l. 'cQ/) 1 k-
Fee Veritied. Receipted and Recorded
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In the psrformence of this work tho undersigned owner (or hi. authorized agent) of .aid premises and hi. authorized Plumber hereby agroo to be bounden by and
submit to all statutes. city ordinonc... and rul.. and regulotion. prescribed by the Board of Public Wo,k. for the governmont of Plumber..
I! Is futhor ogreed by the undersigned thot no other usa. will be mode of the above connections except as hereinoftor Ii.ted.
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