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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 71
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I Lot Bo. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Dat.
NOW SEW" WAIER STORMS FEES FEES RELAY S. SEWER WAIER S'ORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb Ii
From Curb to BuUdlng Eleclric Pumpa From Curb to Building I 'fu,j) 1èI/-6(
Repair
0
INSIDE WORK
110.
NEW
USID
NEW
NO.
FEES
NEW
REP.
USED
REP. I USED
FEES
IE,.
HES I NO.
Batb Tub
G81'bBge D~
Catch BuIDs
Wuh Buin
Dishwubers
Conducto..
Water CI_t
LaundrlUDllU
Gr- Catch Buins
I--
Sink
Water Softene..
Sump Pump .. Ejectors
Water Heaters
Sanilary Bubble..
B81' and Soda Wutes
Shower Baths
UriDaIs
noor Drains
Dental Cuspido..
Laundry Tuba
Senice Sinks
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Fee Veritied. Receipted and Recorded
Received Permit and Inspection F...
-----------------------_----Sewer F...
,if-4-12.Ç\-----PIbg. Fees
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In the parformence of this work the undersigned owner (or his euthorired agent) of said premises and his authorized Plumber hereby agree to be b'oú"nden by and
submit to all statut.., 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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