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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
11'-
of
Plumber
I Lot No.
Due
.
Slreet
and
---- Number -
N~ 9980
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Permit
l Addition or Replat
OUTSIDE WORK
NEW SEwn WATE. STORMS FEES FEE$ 'ELAY S. SEWE' WATE' STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
~ Cub to BuDding Electric Pumps From Curb to BuUcüng
Repair
Fee Verified, Receipted and Recorded
INSIDE WORK
NO.
NEW
REP.
"ES
NEW
'EP. I USED
USED
NO.
Betb Tub
Garbage Dia~
Diahwuhers
Wuh BuiD
Wu.. Cl"""t
Laundramab
Sink
Wuer Softeners
WaJer Reuers
Saniluy Bubblers
Show.. Baths
UrinaJa
1-
noor Dralu
Dental Cuspidors
Laundry Tubs
~:=-::_- - - - --- _mo' - .-.-- Ou bide
Service SiDks
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e
------------.--.-----------------..-__._--Inside
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FEES
1<0.
NEW
FEES
'EP.
USED
Catch BuÎDI
Conductors
Gre... Cuch Bulna
f---
Sump Pump" Ejectors
Bar and Soda Wutes
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?OO
Receiyed Permit and Inspection Fe..
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Date ~ .If. '7 7
*
---------------------------.---
City Tree.,.e,
In the performsnco of this work Ihe undersigned ownor (or his authorized agenl) of said premises and his aulhorized Plumber hereby ogroo to bo boundon by and
submit 10 oil slolutos, city ordinances, and rules and regulations prescribed by Ihe Board of Public Works for Ihe government of Plumbers.
It Is fulhor ogreed by Iho undorslgned Ihot no olher uses will bo made of Ihe above connections except as h
listed.
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