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, PLUMBING PERMIT - Oshkosh, Wisconsin Permil N<1. 120
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l Lot No.
I Block I Ward
Addition or Replal
Dale
OUTSIDE WORK
NEW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID to ClUb Seplic Tanks From Main 10 Curb
~ ClUb 10 BuUdIog Electric Pumps From Curb 10 BuUdhtg
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
NO.
"ES
NEW
REP. I USE.
REP. I USE.
FE"
USED
FlES
Bath Tub
Garbage Dispon]s
CIIicl1 Bas1Ds
f----
Wuh Basin
Dishwashers
Conduclors
Walar CIOMI
Laundramats
Grease Calch Basins
f--
Sink
Waler Softeners
Sump Pump Be Ejeclors
Waler Heale..
/
'11/ ì)O
Sanitary Bubblers
Bar and Soda Wasles
Shower Ba1h8
Urinals
FIoĊ Drains
Laundry Tuba
Denial Cuspido..
Serrice 5mb
Inspections --.........Outside
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Fee Verified, Receipled and Recorded
Received Permit and Inspecl!on Fees
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City T,....",
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In the performs nee of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be boundan by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers.
It Is futher egreed by the undarslgned that no other uses will be made of the above connections except as hereinsner listed. -- ~ _..~
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