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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 141~
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Date 'Î - I l¡ - 7 ?/ I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Naw $lWEI WATER STORMS FEES ,,'S RElAY S. S'W'R WATER S'ORMS ,,'s
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to BuDding [L¡ I J } " (' Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
R'P. I US,.
'EES
FEES
NO.
USED
..,s
NO.
N'W
N'W
R'P.
US,.
BathTub
Garbage DiIpooaIa
Catch Basins
I--
Wuh Basin
Dishwashers
Conductors
Water Cl_t
Laundramats
Grease Catch Basins
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SÜIII:
Water Softeners
Sump Pump II< Ejectors
Water Heate..
Sanitary Bubbler.
Bar and Soda Waste.
Shower Baths
Urinals
noar Dralas
Dental Cuspidors
Leunc!ry Tubs
Ser'ric:o Sinks
~:~::_----_.........._--__....Ou~ide :a~~illt~~r_~..=::::_:::=:: Fee Verified. Receipted and Recorded R~e3:..permü_s:n;e:n;:lion Fees
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In the performance of this work the undersigned owner (or his authorized agent) of .aid premise. and his authorized Plumber hereby agree to be boundan by and
submit to all statute., city ordinance., and rule. and regulation. prescribed by the Board of Public Work. for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connection. except as hereinelter listed.
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