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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<? 1605 t
Name Street ~
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Date c.j .. ~ ~'~) JI Lot No. ~ I Ward I Addition or Replat
OUTSIDE WORK
Hame
of
Plumbe.
NOW SEW" WATER STORMS 'EES FEES RELAY S. SEWER WATER STORMS FEES
From MeIn to C...b Septic Tanks From Main to Curb
From C...b to BuDding ~/' /'" Electric Pumps From C...b to Building
Repair
INSIDE WORK
NO.
NEW
RE'.
USED
NO.
NEW
REP. I USED
'EES
NO.
NEW
USED
'EES
REP.
"ES
Bath Tub
GlUbage Dlaponb
Catch BulDs
~
Wuh BulD
Dlabwuhen
Conductoro
Wat.. CIOI8t
Laundramatl
Gr- Catch BulDs
f--
Sink
Water Softenero
Sump Pump" Ejecto..
Wate. Heate..
Sanitary Bubblero
BIU and Soda Wasteo
Show.. Bathl
Urina18
1---'
I--+-
noo. D<aIIUI
Laundry Tube
Dental Cuopido"
Serrice Sinks
IDlpeclioDl Valuation of the Work Herein Deocribed Fee Verified. Receipted and Recorded Received Pe.mlt and Inopaction Feel
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In the performance of this work the undersigned owner (or his authorizad agent) of said premises and his authorized Plumber hereby egree to be bounden by and
oubmit to ell statutes. city ordinance,. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I, futher agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed.
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