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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N': 8627
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'-__Lot No. I Block I Ward I Addiiion or Replat
OUTSIDE WORK
NEW $IW" WATU STORMS 'EE' 'E.S 'E'AY S. SE1II'O I WATER STORMS 'EES
From Main to Curb '..1' (I;" ¡ 1, ( Seplic Tanks From Main to Curb
FJ:om Curb to Building J.r'e-e' J}- \ I ~ Electric Pumps From Curb to Building
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Repair
INSIDE WORK
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NO. NEW UP. US... filE. NO. ""111 "P. USED fEES NO. NEW REP. USE. 'EES
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Bath Tub Garbag" Dispooøla Caleb B..1nz
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Wuh Buin Dishw...h.... Conductors
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WatH CI_t LaundrllJ!lUlts Grease Catch Bulns
SIDle Water Softeners Sump Pump 8< Ejectors
Water Heate.... SBllÜUY Bubblers Bar and Soda Wesles
Show. .BathR UrinUs
nOD!' Dr" Denial Cuspidors
Laundry Tube Service Sinks
IlOIP8CIiona Valuation of th!}Ork Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
---------------.----OutIlde $-----.J_ß/2.:...:.---_--------------------- -----.,J,--L~---Sewer Fees
----------.-------------InsicIe ----L:.--~--Plbg. Fees
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$------------------------------------------------- -------------------------ëií:¡T;;;;;~;;;------------'-' Date /6;)3, 7-5 -
In th.. performance of this work the undersigned owner (or his authorized age"t) of said "rem Is.. and his authorized Plumbar hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made or the above connections exoept as hereinafter listed.
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