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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9805
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~~Name IE. .
-' of S
....-.... . --on_- ... -. .. -..- - .... Owner.... ..~:..t.............._.......
I Block I Ward
I-. Addition or Replal
I LoiNo.
Dale
OUTSIDE WORK
NIW SEWEll WATER STORMS lEES lEES RELAY S. SEWER WATER SIORMS lEES
From MaIn to Curb " Septic Tanks From Main to Curb
FNm Curb 10 Bullc\Ing '-jjlej / I'{fb-Æl. 11 If-; on Electric Pumps From Curb to BuUding
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Repair
INSIDE WORK
NO.
NEW
NO.
NEW
"O.
lEES
N'W
REP.
USED
REP. I USED
fEES
UP.
USEO
HES
Bath Tub
Garbage Diapooa!a
Catch Basins
Wuh Buin
Dishwubers
Conductors
Wilier CI_t
Laundramllis
Greua Cllich Buina
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SIM
Waler Softeners
Sump Pump" Ejectors
Wilier Hellie..
Sanitary Bubblers
Bar and Soda Wutes
Shower BIIihs
Urinals
Floor Dralzuo
Leundry Tubs
Dental Cuspido..
Service Sinks
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Valuation of the Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fe..
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~J¡ljf-i-?._..~inal OK
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Date
In the performance of this work the undersigned owner ¡or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
lubmit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers.