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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 92~O
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I Lot No. I Block I Ward
OUTSIDE WORK
I Addition or Replat
Date
NEW SEW" WAtER STORMS FEES FEES .ELAY S- SEWE. WAtER STORMS FEES
From MaIn to Curb Ifill,.,...'" W? nil Septic Tanks From Main 10 Curb
"P 1-'"
From Curb 10 BuDding Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
NO-
NEW
NO.
FE"
NEW
.EP.
USED
.EP. I USED
FEES
USED
FE"
Bath Tub
Garbage Dilpon]a
Catcb Basins
Wash Basin
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Dishwashen
Conduclors
Wilt... Cl_t
Sink J' ~ ^)
WlÙ8r Heate..
Laundrarnats
Gre... Catch Baslna
/
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r--
/
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Water Softeners
Sump Pump lit Ejectors
Sanitary Bubblers
Bar and Soda Wastes
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I r-__1/-50
Show... Baths
Urinals
noor Drelu
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Denial Culpidors
Leundry Tuba
Service Sinb
. 'Jii!l?£_jWIf/2~lIide
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Fee Verified. Receipled and Recorded
Received Permit and Inlpeclion Fe..
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Date C /Í ?/2¿;
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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 agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Ø...rd 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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