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PLUMBING PERMIT - Oshkosh, Wisconsin Perml! N<.?' 676
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tI I I I I I
Date Lot No. Block Ward Addition or Replat
. .
OUTSIDE WORK
N-
of
Plumber
NIW SEwn WATER STORMS FEES FEES RElAY S. sEWER WATER sTORMs FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuIldlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
UsED
RES
NO.
NEW
REP. I USED
FEEs
NO.
NEW
REP.
USED
FEES
Búb Tub
Garbage DllpooaIs
CaIc:h Basins
Wub Baslll
Dishwashers
Conductors
Wat.. Cl_t
LaundrlUlUlÙ
Gre... Catch Basins
I---
SIøk
Water Softeners
I
j£rtl
Sump Pump 81: Ejectors
Water Heaten
Saniluy Bubblers
Bar end Soda Wastes
Show.. Batho
Urinals
Floor Dr"'"
Dental Cuspidors
Laundry Tub8
Service SlIIks
Inapecl1ons Valuation of the Work Herelll Described Fee Verified, Receipted and Recorded Received Perml! and Inspecllon Fees
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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 and
submit to all statutes, city ordinances, and rules end regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other u..s will be made of the above connections except as hereinafter listed.
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Plumbing In.p-"~'þ.8 .
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