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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1075
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEwn WATER STORMS FEES "ES .ELAY s- SEWE. WATE. STORMS FEES
From MaID to Curb Septic Tanks F~m Main to Curb
FIom Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
"P.
NEW
FEES
.EP. I USED
FEES
"°.
"EW
.EP-
USED
USED
NO.
FlES
--
Bath Tub
Garbage Dispooals
Catch BaslDs
Wash Basin
Dishwashen
Conducton
Water Cl_t
Laundr&DUd8
Gre... Catch Baslna
t--
Sink
Water Softenen
Sump Pump" Ejectors
I
lId;
v
Sanitary Bubblers
Bar and Soda Wastes
Water Heaters
Shower Baths
Urinals
I~-
nOO1' DraiD8
Dental Cuspidors
Laundry Tubo
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Service Sinks
Fee Verified, Receipted and Recorded
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~
Received Permit and Inspection Fees
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m...&mŒ'.m__Plbg. F..s
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the'¡iÕ)vernment of Plumbers.
undersigned that no other uses will be made of the above connections except as herei