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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<?
r<> ß /J . Name J/ ('::> / Slreet
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I Lot No. I Block I Ward _I Addition or Replat
OUTSIDE WORK
N-
of
Plumber
1661
6
_____m______-------
Due
NEW SEW" WAT" STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From Main to Curb Seplic Tanks From Main to Curb
From Curb 10 BuDding Electric Pumps From Curb to Building
Repair
I I
Received Permit and Inspecllon Fees
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INSIDE WORK
NO.
NEW
UP.
NO.
NEW
fEES
NO.
REP. I USED
USED
FI..
Bath Tub
Garbage Disposals
Catch Bulns
Wub Buin
Dishwuhen
Conductors
Wuer CI_t
I
1/, ¡IV
Laundrama1s
Gre... Cuch Bulns
Sink
Wuer Softeners
Sump Pump 8< Ejectors
Wa1er Heuers
Sanitary Bubblers
Bar and Soda Wastes
Shower Ba1hs
Urinals
Floor Drains
Laundry Tubs
Dental Cuspidors
Service Sinks
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ValuatIon of the Work Herein Described
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e
Fee Verified, Receipted and Recorded
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-----------Einal OK
e
CIty T,...u,.,
NEW
REP. I USID
'EES
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In the performence of this work the undersigned owner (or his authorized agent) of said premises and his authorired 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 government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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Plumbing 10'_'