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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N~ 1110
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I Lo.I Ho. I Block I Ward I Addllion or Replat
OUTSIDE WORK
Dale
NEW SEW" WATER STORMS "ES FEES RELAY S. SEWER WATER STORMS "ES
From Mala to Curb Seplic Tank. From Main to Curb
!' rom Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
USEO
NEW
FEES
REP. I USE.
FEES
NO.
NEW
REP.
USE'
FIlS
NO.
u..
Bath Tub
Garbage Dupon]s
Catch Buins
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¡rOD
I ¡roD
1-
I
I
Dubwub...
Conductors
Wuh Buin
v
Greue Calch BulDa
Laundramalo
Water Cl_t
--
SIDk
Waler Softeners
Sump Pump 8< Ejectors
Waler Heale..
Sanitary Bubble..
Bar and Soda Wule.
Shower Batbs
Uriøals
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noor Dr8Ù18
Dental Cuspidors
Laundry Tube
Service Sinks
Impactions Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permll and Inspection Fees
.'--'------'--------"----1-- ----.- _-_-mOulside ¡ 1\ Æ A (/0/' -- m--m..mSewer Fees
1<-:0 T .¡.. 3: (7"17 c/ - St.u..!.lu.",émmm_m----mm_m_m____--___--_m--_. 3'.. If 0
'I--~s.,+-..-------------- ---__-f__cð____-Inslde .------.-.-,------------.Plbg. Fees
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In' the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby egree to be bounden by ond
submit to all statutes. city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II Is luther egreed by tl¡..pnderslgned that no other usos will be made of the above connections..,p,a > as herel