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PLUMBING PERMIT - Oshkosh, Wisconsin
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Date I. Lot No. I Block 1 Ward I Addilion or Replat
OUTSIDE WORK
Permil
NEW SEWn WAtER STORMS FEES FEES RElAY S. SEWER WAtER STORMS lEES
From MaID 10 Curb Septic Tanks From Main 10 Curb
~ Curb 10 BuDding .,-/ ,/' ~ Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
RIP.
NEW
USED
"ES
NO.
NEW
REP. I USEO
lEES
"O.
NEW
REP. I USEO
'EEl
Bath Tub
Garbage DÏ8pooa!a
CIdch Bashlo
Wuh Basin
Dishwashers
Conduclors
WatN CION.
Laundrama.18
Greue Catch Basins
I--
Sink
Watar Softeners
Sump Pump 8< Ejeclors
Water Heate..
Shower Baths
Sanitary Bubblers
Urinals
Bar and Soda Wasles
Floor DraIDs
[-1-,-
Denial Cuspidors
Laundry Tubs
Service Sinks
ImpecilOIUl Valuation of Ihe Work Herein Desczibed Fee VerUied, Receipled and Recorded Received Permil and Inspecllon Fe..
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized 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~the undersigned that no other uses will be made of the above connections except as hereinafter listed.