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Name
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 1715
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I Lot No. I Block ¡ Ward
OUTSIDE WORK
Date
j Addition or Re¡>lal
NEW SEWEI WATER STORMS FEES FEES IEtAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb V ~
From Curb 10 BuDding Eleclric Pumps From Curb 10 Building /'
Repair
INSIDE WORK
110.
USED -
NEW
UP.
FEES
NO.
NEW
REP. I US'O
FEES
NO.
NEW
IEP. I USED
"'S
Batb Tub
Garbage DÌII~
Catch Bains
Wub Buln
DÌllhwahers
Conductors
Wat.. Cl_t
LaundrlU118ia
Grease Catch Bulns
f--
Sink
Waler Softeners
Sump Pump" Ejectors
Water Heaten
Sanitary Bubblers
Bar and Soda Wales
Show.. Baths
Urinals
Floor DrÚ118
Denial Cuspidors
LaWlc!ry Tubs
- - Service Sinks
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C;ty T<au".,
Inspect1ons
-------------------------...-----------Oulside
--------------------------------------------Inside
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Fee Verified. Receipled and Recorded
Received Permit and Inspection Fees
--_--_3A2?2_-Sewer F...
------------..._--- ---Pibg. F..s
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,-;;lthe pérformonco of this work tho undersigned owner (or his outhorirod agent) of said premises and his authorired Plumber hereby ogr.. to be bound.n by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
undersigned that no other uses will b. made of the above connections except as hereinoltor listed.
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