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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 9255
ø/ ~ Name /J!l- ¡Jd -~, ?' ~ Streel ~
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I Lot No. I Block I Ward
OUTSIDE WORK
1
JI.....
of
Plumber
Date
I Addilion or Replal
NOW SEWEI WAUl STOIMS fEES fEES RELAY S. SEWER WATER STOIMS fEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
!'>om Curb 110 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
"P.
NO.
NEW
REP. 1 USED
USED
flES
Bath Tub
Garbage Dilponls
f--
Wuh Basin
Dishwashen
WatH Cl_1
Laundr8lDÙO
Sink
Water Softeners
Water Heaters
/
Sanitary Bubblers
'1f2äO
ShOWN Batha
Urin81s
Floor Drains
Denial Cuspidors
Laundry TubII
Service Sinks
Æalion of Ihe Work Herein Described
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Fee Verified. Receipled and Recorded
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fEES' 1"0.
NEW
"P.
USED
fEES
Catch Basins
Conductors
Greue Catch Basins
Sump Pump 8t Ejectors
Bar and Soda Wasles
I---
Received Permi! and Inspeclion Fees
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Dale c; b.Æ~
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances. and rules and regulstions prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agroed by the undersigned that no other uses will b. made of the above connections except as hereinalter listed.
CIty T,....,.,
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