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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8917
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Dat.
¡ Lot No.
l Block I Ward
I Addition or Replat
OUTSIDE WORK
NEW SEWn WATER STORMS FEES 'EES .EIAY S. SEW'. WATE' STORMS FEES
From MaiD to Cvb '1// (;l1 /-'/ (">/Í, LfiJr Septic Tank. From Main *0 Curb
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From Cvb fo BuDding Electric Pumps From Cvb to Building
Repair
INSIDE WORK
NO. NEW III. US... FII,. NO. NEW "P. USED FEES NO. NEW REP. USID FEES
Búh Tub / IIv Garbage DiBpooak Catch B",fos
/ -
Wuh BuiD 11-0 DiBb...",hen 1- Conducto..
I I!je) 7 - - -
Water CI_t LaundramaIE //-& Greuo Catch Bulu
8II1II: / I/~ Water Softoner. Sump Pump 81: Ejec!or. 7 /#é
Wale. Heal.... '/ 1/,fd Sanitary Bubble.. Bar and Soda Was!..
,
811.0..... BaIba UriDaIa
Floor »raIDs J 1/#0 Dental Cuspldo..
Laundry Tubs Sarri<:e SiDks
Iospsctions Valuation of the Work Herein De.cribed Fee Verified. Receip!ed. and Recorded Receive~ Permit and Inspection Fees
---------..---. -.---Oulside $...-..p-fE..?1...,,-.--<:...'?_.-------.....--- CJ6
.~~_.Se...e. Fees
~._.-Z~~_._~::~ -- -._--_.Plbg. Fees
$------.--.-------------.--.-------------------------- . :ZTOI~:~ 0
$-----------------....------------------------------- -----------------'----ç,¡y-r;;;;ür";----"--------- Date /?--- 3/ 7 ~
: the undersigned owner (or his authorized a"ent) of said "."ml... .n" hi. ""'A";'.~ DI.._b.. L___L.. --_L A. L.-C. '-
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submit to all stotutes, city ordinances, and rules and regulalions proscribed by the B."ard of Public Work. for Iho government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections exce.e: .. ",;,"Inoller lisled.
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¥--- PlumbIng In-...,.,
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