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PLUMBING PERMIT - Oshkosh, Wisconsin Permi! N~ 9699
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I Lœ No. ~ 1 Ward
OUTSIDE WORK
N-
of
Plumber
Dale
¡ Addition or Replal
NIW SEW" WAtER STORMS fEES FEES RELAY S. SEWER WAtER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
USED
NO.
NEW
"P.
FEES
-
Bath Tub
--
Wuh BuIø
Garbage Dis >Oll8b
f-----
Dishwuhen
Wal.. CI_t
Laundrama.ls
SIDk
Waler Soflene..
Waler Haalen
/
I-a:
Sanitary Bubble..
Show.. Baths
Urinals
noor Drains
Denial Cuspido..
Laundry Tuba
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Service Sinks
Fee Verified. Receipled and Recorded
V1alion of Ihe Wor,k Herein Described
$__-t¿25'7'JD----_---_----------------------------
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REP. I USED
NO.
NEW
REP.
USED
FEES
FEES
Calch Buins
Conduclo..
Grease Calch Buins
Sump Pump II< Ejecto..
Bar and Soda Wasles
I----
Received Permi! and Inspection Fees
~.---------------_--.Sewer Fees
__/':4â---__plbg, Fees
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In the psrformance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to ba 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.
It Is futhar agreed by the undersigned that no oth..r uses will be made of the abov.. connections except as hereinafter listed.
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Plumbing 'n,po<to'
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