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PLUMBING PERMIT - Oshkosh, Wisconsin ~~ ~ c¿, N<: 1859
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Owner ---- -- ~--- _-.-d£~n___-----_--.--___----n------_.- Number /,f.::l2._n¿2---- - ~_._--~----------
I Lot No. -\ Block I Ward I Addilion or Replat
Data
OUTSIDE WORK
NOW SEW" WATER STORMS FEES fEES - RElAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
FMm Curb to Dundlng Eleclric Pumps From Curb 10 BuUding
Repair V l~ðC>
INSIDE WORK
NO.
NEW
RIP.
FlES
NEW
REP. I USED
NO.
NEW
'EES
REP.
USED
FE"
USED
NO.
BaIb Tub
Garbage DÙlposa]I
Caleb Bulna
Wuh BuiD
DÙlhwuhen
Conductoro
Water CIOI8I
Laundramals
Greue Catch BuiDs
SIDk
Water Softenero
Sump Pump II< Ejeclors
Water Heaten
Sanitary Bubblers
Bar and Soda Wastes
Shower Batbs
UriDats
Floor DraIDI
Denial Cuspldon
Laundry Tubs
Serrice Sinks
Fee Verified, Receipled and Recorded
Received Permit ancl Inspection Fa..
n_/_~_e>.-- ---Sewer F-
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. In the performance of thi. work the undersigned owner (or hi. authorized agent) of $Oid premises and his authorized Plumber hereby agree to be bounden by and
submit to ell .tatutes, city ordinances, and rules and regulations prescribed by the Board of Public Work. for the government of Plumbe... -
It is futher egreed by the undersigned that no other U50S will be mede of the above connections except as herein.ft..---¡¡st_.
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