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PLUMBING PERMIT - Oshkosh, Wisconsin Permi! N<: 1606 '/
tV Name It,- , VA - ~ Street 1 (/ '1'V\ '
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Dú.t:1 '~t:....~ - )~ I LoJ No. -¡BlOCk I Ward
OUTSIDE WORK
N-
of
Plumber
I Addition or Re"lú
NEW SEwn WATEr STORMS FEES FE" RELAY S, SEWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
From Curb to Building L¡to / 1/' Electric Pumps From Curb 10 BuUdlng
Repair
INSIDE WORK
NO.
NEW
UP.
USEO
NO,
NEW
REP. I USEO
NO.
NEW
fEES
REP.
USEO
FE"
liES
Búb Tub
Garbage DilpooaIa
Cúch Basins
I~
Wuh Basin
Dilbwashen
Conduclors
-,-
Wúar Clooet
Laundram&18
Gre... Cúch Basins
Sink
Wúer Softene..
Sump Pump" Ejecto..
WÚ8r Heú...
sanUary Bubblers
Bar and Soda Wastes
Shower Baths
UrlDa1a
.
noar Dralu
Denial Cuspidors
Laundry Tube
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Serrice Sinks
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Valualion of Ih~k Herein Described
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Fee Verified, Receipled and Recorded
Received Permit and Inspecllon Fe..
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Dúe c¡ -~~ -1
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CUy T"...,.,
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to ba 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 hereinalter listed.
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