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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 537
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I LotHo. I~ I Ward
OUTSIDE WORK
I Addition or Replot
Date
NIW SEwn WAtER STORMS FEES FEES RELAY S- SEWER WATER STORMS lEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
NO.
lEES
NEW
REP. I USED
lEES
NO.
REP.
USED
FlES
NEW
REP.
USED
Batb Tub
Gubage D~
Catch Bulns
Wuh Buin
Dishwuhers
Conducto..
Water CI_I
Laundramall
Gre... Catch Bulna
f---
SIDk
Water Softene..
Sump Pump Be Ejectors
Waler Heate..
J
Bu and Soda Wutes
It>V!
Saniiary Bubblers
Shower Balha
UriDals
nooz Drains
Denial Culpidors
-~-
Laundry Tubo
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Se...ice Sinks
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Receiyed Permit and Inspection F...
--------------------Sewer F...
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Date 7 d-tJ. -? --?
Fee Verified. Receipted and Recorded
$-
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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 "atutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It II futher agreed by the undersigned that no other uses will be made of the above connections e"e,pt as hereinafter listed.