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PLUMBING PERMIT - Oshkosh, Wisconsin
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fI I Lot No. 'I Block I Addition or Replat
OUTSIDE WORK
Name
of
Plumber
Date
N? 817
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Permil
NIW SEWEI WAIER STORMS lEES FEES RELAY S. SEWER WAIER STORMS lEES
From MelD to Curb Septic Tanks From Main 10 Curb
Fzom ClUb to BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UIED
NO.
NEW
REP. I USED
FEES
RIP.
lEES
Batb Tub
GarbegeDIIpo8a1s
Wuh Basin
Dishwashen
Watu CI_t
LaundrlUDll1s
SIDle
Water Sofieners
Water Heate..
I
Ii ó-c,
"
sanUary Bubblers
Shower Baths
Urinals
FIoĊ DreIJIs
Dentel Cuspldo..
1-
LeUDdry Tubo
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Service Sinks
Fee Verified. Receipted and Recorded
Valuation of the Work Herein Described
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NO.
NEW
FEEl
REP.
USED
Catch Basins
Conductors
Gre... Catch Basins
f---
Sump Pump" Ejeclors
Bar end Soda Wastes
Received Permil and Inspection F-
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City T'....,.,
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//- 7.
----.--....-.-..-..--FiDe1 OK
Date
77
In th performance of this work the undersigned owner (or his euthorired agent) of said premises end his author ired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
¡ Is futher agreed by the undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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