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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9214
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-\ Block I Ward
OUTSIDE WORK
! Lot No.
I Addilion or Re¡>lat
Dale
NIW SEWn WATER STORNS FEES FEES REtAY S- SEWER WATER STORNS FEES
From MaIn to Curb (71( -II-:>M) Seplic Tanks From Main to Curb
0
From Curb 10 BuDding Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
u,-
FOES
NO-
NEW
RE'. I USED
FEES
NO-
¡W I~I USED r;E~ D
USED
Bath Tub
Garbage DlaposoJo
Catch Basins
Wub Basin
Dlabwasbors
Conducto..
Wet.. CI_t
Laundramoto
Gre... Cetch Basins
f----
Sink
Weter Softene..
Sump Pump" Ejectors
Water Heaters
Sanituy Bubblers
Bar and Soda Wastes
Show.. Baths
noor Dralna
Urinals
1 l-t-=
Dental Cuspidors
Laundry Tubs
Service Sinks
Inspections Valualion of the Work Herein Described Fee Verified, Receipted and Recorded Received Permil and Inspaellon Fees
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In the performanca of Ihis work the undersigned owner (or his authorired agent) of said premises and his author ired Plumber hereby agree to be boundan by ond
submit to all statutes, city ordinances. and rules and regulallons prescribed by the Board of Public Works for the government of Plumbers.
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"umblng In.poc1O'
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as her,-'
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