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() PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1762
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I Lot No.
¡BlOCk I Ward
I Addition or Replat
Date
OUTSIDE WORK
NEW ,EW" WAf.. STORMS 'EE' "E' .EIAY S. SEWE. WATE. STORM' FEES
From Mab110 Curb Septic Tanka From Main 10 Curb
From Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
NO.
.EP. I USED
FEES
'EES
NO.
NEW
NEW
.EP.
U'ED
UP.
USED
FEE'
BathTub
Garbage DispooalJo
Catch BulDs
I-----
Wuh Buin
Dlshwuhers
Conductoro
Water C1œe1
Laundrama.lo
Grease Catch Bulas
--
SIDk
Water Softenero
Sump Pump Be Ejectors
1
,../
L"'-
Sanitary Bubblers
Bar and Soda Wastes
Water Heaten
Shower Balbs
Urinals
Floor Dralu
Denial Cuspidors
Laundry Tuba
Service Sinko
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~
Fee Verified. Receipled and Recorded
Received Permit and Inspection F...
......----................--Sewer F...
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Date I :2/ð;/;I /
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City r,..,u,.,
-..........--..............---Final OK
s..............................................-.......-....---......-..-
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to ba bounden by and
submit to all statutes. city ordinancas. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by th
nderslgned that no other uses will be made of the above connections except as hereinalter listed.
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