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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<;? 1141;X'
Name ~ Street r '-
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I Lot No.
r:=-- I Ward
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Addition or Replat
Date
OUTSIDE WORK
NIW SEWEI WATER STORMS FEES FEES RElAY S- SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
holD Curb to BuUcItng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
..,- I USID
NEW
RE,- I USED
NEW
USED
FEES
FEES
NO-
RE,.
liES
NO.
L
I
I
Garbage DÙlpooaIs
Catch Bulns
v
¡/
/'
Batb Tub
i. 00
1/,00
DUlbwubars
Conducto..
Wuh Buin
Gre... Catch Bulns
/.tJJj
Laundr-
Wet.. CI_t
f--
Sink
Water Softeners
Sump Pump Be Ejectors
Water Heat..s
Sanitary Bubble..
Bar and Soda Wutes
Show.. Batba
Urinals
Floor DralDo
Dental Cuspidors
Laundry Tubs
Inspections
-------------------------_..._-----------__----Outside
._-----------------------------------_..._--------...Inslde
Serrice Sinks
Valuation of the Work Herein Described
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Foe Verified. Receipted and Recorded
Received Permit and Inspection Fe..
...-----...------.........Sower Foes
.....--_3.I--o.Ç)....PIbg. Foos
.......__.3_!_.O.Q..Totai
Datell.5hL
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--....------.-....--------Final OK
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In tho poriormance of this work the undersigned owner (or his authorized agont) of said premises and his authorized Plumber hereby agr;;t;, 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.
undersigned that no other uses will bo made of the above connections except as heroinaftor listed.
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