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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9903
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I Block I Ward
Dale
I Lot Ho.
I Addition or Replat
OUTSIDE WORK
NEW SEwn WAUl STORMS FE" FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW ..,. USID RES NO. NEW RE,. ~ FEES "O. NEW RE,. USED FEES
~ ~ -
Bath Tub Garbage DÙlpooaIs Catch Bulns
-
Wub Buln DÙlhwuhers ~ Conductors
/ ~ -;- ~ -
Watar CleMt LaundramaU G.ease Calch Bulns 7
Sink Wale. Softeners Sump Pump 8< Ejectors /
Water Healers / / Sanitary Bubblers Bar and Soda Wutes
Shower Baths U.iIIaIs
Floor DraIDI / / Dental Cuspidors 1--
Laundry Tubs Service Sinks
Inspsctions Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
---------y;q-72'-z;..._-_.____Outside $-- ---~~~---_Cl.Q----------------_._----- _:::::ø::¿rë:n:~r F:7
-.-.--------- ---.' --;2. ---.2 ---._---_---Inside
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In the perform_nee of this work the undersigned owner (or his authorized agent) of said premises _nd his _uthorized Plumber her_by agree to be bounden by and
submit to all st_tutes, city ordin_nces, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
I! Is futher _greed by the undersigned that no other uses will be made of the above connections except as herein_fter listed.
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