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PLUMBING PERMIT - Oshkosh, Wisconsin Perml! N? 8165
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I Lot No. I Block I Ward IAddilion or Repl,U
OUTSIDE WORK
Date
NEW SEWD WATER SrORMS fEES 'E" RE'AY S. ",y,. WAT" STORM' 'EE'
From MaIn 10 Curb Seplic Teaks From Main 10 Curb
bolD Curb 10 BuUcllng ;.1"/1,,' ) 1-- "(l . 4!!!- Electric Pumps From Curb 10 Building
/
Repair
INSIDE WORK
, , , -
NO. NEW UP. U'ED FEn NO. NEW RE.. USEO "., NO. NEW REP. U'E' "ES
- -.
Balla Tub Garbage DÏIpoBa!a Calch Buins
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Wub BuiD Dishwasben - Conduclo"
- -
WaI... CloIeI LaundramaIR Gr..... Calch Basina
SbIk Waler Softeners Sump Pump 8< Ejeclors
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Water Heaters Sanitary Bubblers Bar and Soda Wasl...
SiLo...... BaIhII Urinale
Floor lIraina Denial Cuspidon
Laundry Tubs Sonice Sinks
IDRpactioDR Valualion of Ibe Work Herein Described Fee Verified. Receipled and Recorded Received ~it and IDRpscIion Fees
---....--..-...-.........-....Oulsido $..d21.é2.. :...~- .-.--...- "---""..-.""'- ..._sJ.~...........oooSewer Fees
- ......-.-.-.---.---...... _...-wlele ...._...L:...~...Plbg. Fees
$......--......-..--...-..-..--..-...--.....-........--- -_.._.-¿{-~-TOlal
-.. ~7 rW713=--~1aal 0; ..""-"""""""OOO""ë,jÿ"ÿ;~-;'ü;ë;""-'oO'-""""-"
$--"""""""-'-'-'-""""--""'_'000_'_'_'- Dale c~ ./~ 7.s-
In the performance of this work the undersigned owner (or his authorized ag..nt) of sold premises and his auth@rlzed Plumber hereby agree to be bounden by end
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 of the above connections except as horeinafte. listed.
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-... . -- . Pwner.f ~ hi. .utho"zed IO...
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"'" .... . Plumbing In......, --Þ.ß
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