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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8484
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Lot..:No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Date
NEW SEwn WAIn STORMS fEES "'S RElAY S. SEWER WATER STORMS FEES
From MaIn to Cvb Septic Tanks From Main 10 Curb
From Cvb 10 Building Eleclric Pumps F~om Cvb 10 Building
Repair
INSIDE WORK
, ,
NO. NEW u,. USED FIE. NO. NEW R<P. USED "'S NO. NEW RE,. USED 'EES
- -
Bath Tub ...L aarbaga DiIpooa]s Catch ¡¡asl""
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Wash Buln e1. Dishwashers Conduclors
- - -
WIll. Clooot J Laundrama.ta :2. Gre..... Catch Easin!
SIBk ~ Wate~ Softeners Sump Pump II< Ejectors 1/.sIt
-
W~ Heue"" "I Sanitary Bubble"" Bar and Soda Wasles
Shower Ba1hso Urinals
Floor DraIIUI '\ Deniol Cuspido""
Laundry Tubs Service Sinks
JlIIpOC1io"" ~ VoIua!lon of the Work Herein Described Fee Verified. Receipted end Recorded Received Permit and J""pectlon Fees
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......2:¡ " ----.---Inslde ._...L~.~-PIbg. Fees
-~u.d~=. ~~; $-......-..-..-..-...-....-..--..-.....-.....--.---...... .._.....I..£~~-TOfai
$.-.-......----.-.....---.---.......--.-..- """""-""""""ëi¡;ïr;;;;,;;;õ;-"""-""""'-"" Dale 21.,2.:1 . 7 -' -
In the performance of this work the undersigned owner (or his authorized agent) of said premise. and his authorized Plumber hereby egree to be bounden by and
submit to all statutes, city ordinances, and rul... and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. futher agroed by the undersigned that no "ther uses will be mede of the above connections except as hereinafter listed.
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PlumbIng Ins.....,";>. ß . "n.n..
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