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. PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<!. 831
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I LoJ No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NIW SEwn WAUl STORMS FEES FE" RElAY S. SEWER WAUl STORMS FE"
From M8In to Curb Septic Tanks From Mein to Curb
From Curb 10 BuIldlnll Electric Pumps From Curb to Buildhtg
Repair
INSIDE WORK
110.
NEW
REP.
FOES
NEW
REP. I USED
NO.
NEW
REP.
FEES
USED
FEES
NO.
USED
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BaIb Tub
Garbage D~
Catch Bains
Wub Bain
Dlshwabers
Conductors
Wú... CIONt
Laundramals
Greue Catch Bains
I-
SIDIo:
Water Sofleners
Sump Pump" Ejectors
Water Heaten
I
þrt
sanUary Bubblers
Bar and Sode Wates
BhowerBaths
Urinals
Floor DraIDa
Laundry Tubs
Dental Cuspidon
Serrice Sinks
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Valuation of tbe Work Herein Described
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$
e
Fee Verified. Receipted and Recorded
Received Permit and Inspection Feeo
............................Sewer Fees
:::::::2:~~: F..s
Date //- '7' 77
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City To".u,.,
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-Final OK
In the psrformance 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 statutes, city ordinences, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher allread by the undersillned that no other uses will be made of the above connections except as harelnaftor listed.
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