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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? ~35
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I Lo.! No. I Block I Ward . -_J Addition or Replal
OUTSIDE WORK
Daia
NIW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MalD 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Eleclric Pumpa From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
UP.
NO.
NEW
FEES
NO.
REP. I USED
USED
FlES
Bath Tub
Garbage Dilpooals
Catch BulnR
Wuh Buin
Dilhwuben
l
I. ti-O;
Conduclors
Greue Caicb BulnR
I--
WaiN Clœal
LaundramaiR
NEW
REP. I USED
FEES
Waiar Haaie..
Sanitary Bubblers
Sump Pump Be Ejectors
Sink
Weier Sofleners
Bar and Soda Walas
ShoWN BaihR
UriDala
ncor Dralu
Denial Cuspidors
Laundrr Tubo
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Ser'tica Sinks
.........-...............--.....-..........-........Inside
Valuation of Ibe Work Herein Described
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Fee VerUied. Receipled and Recorded
--..--.......-.--..----Final OK
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Received Perml! and Inspection Fees
-..................-.Sewer F...
....J:n"'::"P....Plbg. Fee.
.........I,....~....Tolal
C¡:.3. 7£
Dale
In the performance of this work the undersigned owner (or hi. authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all slatutes, 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 use. will be made of the above connection. except as hereinafter listed.
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