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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9687
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~ I Ward
OUTSIDE WORK
B.....
of
Plumber
Date
l Lot Bo.
I Addition or Replat
NIW SEWEt WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main to Curb
F20m Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RIP.
FEES
NO.
USED
Bath Tub
I
7
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m~
DWtwasben
Garbage DÌJlpooa!o
Wuh Basin
Water Cl_1
Laundramaia
Sink
Water Softeners
Waler Heate..
Sanitary Bubblers
Shower Bathe
Urinala
Floor Dr8Ú18
Laundry Tube
Denial Cuspido..
Service Sinks
NEW
REP. I USED
FEES
NO.
NEW
REP.
FEES
USED
Catch Basins
Conductor.
Grease Catcb Basins
I--
Sump Pump Ik Ejectors
Bar and Soda Wastas
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Received Parmi! and Inspecllon Fees
...........................Sewer F...
......~..6.~..Plbg. Fee.
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Fee Verified. Receipted and Recorded
Inapecllona
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Valuation of tbe Work Herein Described
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In th performance of this work the undarsigned owner (or his authorired agent) of said premises and his authorired Plumber 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 of the above connections except as hereinaller
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