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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N':: 8912
------~~______h_____- ::!:r __m__~__~------- ::~r _2.~_¡;(¿___h_V&z.~__-
I Lot 11'0.
¡ Block I Ward
l. Addition or Replat
Date
OUTSIDE WORK
NEW SEW.I WATER STORMS 'EES "ES IELAY S. SEW" WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main 10 Curb
~ Curb to Buildlug Eloctdc Pumps From Curb 10 Building
Repail"
INSIDE WORK
NO. NEW REP. USIID PIES NO. NEV} "P. USED "" NO- NEW REP. USED FEES
/ I/~ -
Batb Tub Gozbaga DispcoaJs 1- Ca!ch BREW
Wash Bum 7 I/~ Dishwuh.... Conducto..
Wet... CI_t 'j 1/# Laundramaits / /ø Gr- Catch BuiDa
IIIDk / I/Þ- Willier Softeners Sump Pump SI: Ejectors / 1/6-<
Water Heate... J /HJ S81Ût..,. Bubblers Bar and Soda Wmes
Sho......Batha Vrmala
Floor Ðralu / Jtït! Denial Cuspidors
LallDdry Tubs Senice 5mb
¡...pedlORS Vj.uation of the Work Herem Described Fee Verified. Receipled and Recorded Received Permit aud ¡...pecllon Fees
_m______--- --------Outside $--¥O_Q¿---Q-~----------______m______---- --Z-_.;:::¿;m.8ewer Fees
-----.--'- --- t:::-----_-I'lbg. Fees
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= Dale /'2.-/'5/ 5'
In the aeriormAn... of thl. wor" tho ""~or.¡""'" ft~".r too .,. .....--.,--~ ------"., -_U ----__L. ., ,. ....
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submit to all statutes, city ordinances, and rules and regulations prescribed by Ih. Boord of Public Works for Ihe governmenl of Plumbers,
Ills fulher agreed by Ihe undersigned Ihol no olher u..s will be made of the above connections exceÞt-a. ha.'einaflaiÝ1ì,IÐd.
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