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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9826
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I Lot No. I Block I Ward
OUTSIDE WORK
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H-
of
Plumber
I Addition or Replat
Dat.
)
NEW SEWn WATER STORMS I fEES FEES R"AY S. SEWER WATER STORMS FEES
From MaID to Curb Septic Tanks From Main to Curb
From Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
"P.
NO.
NEW
REP. I USE'
FEES
NEW
REP.
FEES
USE'
NO.
us..
FlES
Bath Tub
Garbage D1apooala
Catch BuinR
Wub Buin
7
//;6
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I--
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Conductors
Grease Catch BuinR
LaundrarnùR
Wat. CIONt
Sink
Water Softeners
Sump Pump Ie Ejectors
Water H.at.rs
Sanitary Bubblers
Bar and Soda Wastes
Show. Batba
Urina1a
Floor DreinR
Laundry Tubs
Dental Cuspidors
Service Sinks
IDipect1ons
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------......----m--....--------........-----..----Inside
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$-
.
Fee Verified. Receipted and Recorded
Received Permit end Inspection Fe..
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----...--~_Q_D....Total
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City T,eo",.,
Date
In the performance of this work the undersigned owner (or his authorlred agent) of said premises and his authorized Plumbar hereby agree to be bounden by ""d
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 connectl
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