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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8311
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I LoJ Ho. 1 Block I Ward IAddi~r Replal .
OUTSIDE WORK
Dale
Maw SEWEI WATER STORMS 'E" FEES RELAV S. SSW,. WATER STORMS 'EES
From MaID to Curb Seplic Tanks F%om Main 10 Curb
From Curb io BuUdInø Eleclric Pump; From Curb 10 Building
Repair
INSIDE WORK
NO. MEW REP. USEO "ES NO. NEW .EP. Uli. FE" NO. MEW REP. USE. 'EES
- -
Bath Tub Garbage Diopoaala Caleb Bui...
Wuh Bum Dishwuhen Conductors
1- - - - -
W- Closet Launc!ramats Gre- Catch Buiøs
SIDk Water Softeners / fj,()Q Sump Pump" Ejectors
Watsr Heaters Sanituy Bubblers Bar and Soda Wastes
Show.... Baths UrinBls
Floor »raIDs Dental Cuspidon
Laundry Tubs Service Sinko
Inspectio... V7ion of the Work Herem Described Fee Verified. Receipled and Recorded Received Permil and Inspection Fees
-----..-..........--.....-......-Outside > -../ .._.~...._....sewer Fees
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-.-.-.---...... ....----...._.__InIide 7h.~.9___.p1bg. Fees
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---.------Final OK $.--...-....---........-..--......-..-.-...-.-- ............-........-.C';YŸm.;;;;;-..--."'----. Date ~)//J'//3
In the performance of this work the undersigned owner (or hi. authorired agent) 01 .aid premi... and hi. authorized Plumber hereby agree to be bounden by and
submit to all .tatute., city ordinances, and rule. and regulalions prescribed by the Board of Public Works lor Ihe government 01 Plumbers.
It I. futhor agreed by the undersigned thol no olher use. will be made 01 the above conneclions except as .ereinalter listed.
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