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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot Bo. v I Block I Ward I Addition or Replat
OUTSIDE WORK
Permit N? . 4~
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Date
NEW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FlES
From MaID to Curb Septic Tanks From Main to Curb
From Cwrb to BlI1ldlng I.tP (1j' J 4 ('I #!- Electric Pumps From Cwrb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
FEES
REP. I USED
FEES
"o.
USED
FEES
NO.
NEW
REP.
USED
_Tub
Garbage D1s~
Caleb BulDs
Wash Buin
Dlsbwuhers
Conductors
Water Cl_t
Laundramalo
Gre... Catch Buins
r-
BIDk
Water Bofteners
Sump Pump" Ejectors
Water Heate..
Sanitary Bubblers
Bar and Soda Wutes
Bhower Baths
Urinals
noor Dralu
Dental Cuspidors
Laundry Tubs
Senica Sinks
Inspections
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Valuation of the Work Herein Described
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Fee VeritiecL Receipted and Recorded
Received Permit and Inspection Fees
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Date ~.£' .17
e
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City Tm"'.,
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby ogroo to be bounden by end
submit to oil statutes, city ordinances, end 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 tho above connoctions except as hereinolter listed.
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Plumbing ,............,. e .
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