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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block J Ward
Permit N~ 522
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I Lot No.
I Addition or Replat
Date
OUTSIDE WORK
NEW SEwn WATE. STORMS FEES FEES .ELAY S. SEW'. WATE. STORMS FEES
FROm MaIn to CW'b Septic Tanks From Main to Curb
nom CW'b to BuUcllnsr Electric Pumpa From CW'b to Building
Repair
INSIDE WORK
NO.
UP.
FEES
USID
NO.
NEW
FlES
NEW
.EP. I USE.
FEES
NO.
NEW
.EP.
USE.
Ba1b Tub
Garbage D~
Catch BulDs
[--------
Wash Buin
Dishwuhen
Conductoro
Water Cl_t
LaundrllDUlD
Greue Catch BulDs
f--
SbIk
Water Softenero
Sump Pump 8< Ejectoro
Water Heate...
Sanitary Bubblero
Bar and Soda WHIGS
-t! /J -- 4 ---- -#-
1M
/1
Shower Ba1la
UrinalR
noor Dralu
Dental Cuspido...
----<-
Laundry Tube
Senice Sinks
IDipecliollll ------__--OutRide
==:::::::::=:::::::-::::::::::::: -- _d- ---IDIide
Valuation of the Work Herein Described
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-L-cct:>__m_Plbg. F..s
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Fee Verified. Receipted and Recorded
Received Permit and Inspection F-
------- ----Sewer Fees
-------¡;1i;377-:7--
-Final OK
"
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agfee to 'be boúnden 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 futher agreed --by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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