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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9893
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I Block I Ward
H-
ot
Plumber
I Lot No.
I Addition or Replat
Date
OUTSIDE WORK
NI.. SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
holD MaIn to Curb Septic Tanks From Main to Curb
holD Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
110.
NEW
"P.
NO.
NEW
FEES
"O.
REP. I USED
USED
FlES
Batb Tub
Garbage DiopoA1s
Catcb Bullis
I--
Wub BulD
Dishwuhers
ConductO"
Water CIONt
Laundramats
Grease Catch Bulns
Sink
Water Softene..
Sump Pump Be Ejectors
Water Heat...
/
7
Sanitary Bubblers
Bar and Soda Wastes
Shower Batha
Urinals
noor Dralu
Dental Cuspldo..
Laundry Tubs
~:~~~_........_--_.._...--..._...OulBlde
Senica Sinks
NEW
RIP.
USED
FEES
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Val~n of the Work HerelD Descrlhed
$..........%'2.5::./),.6.....--_..-..-..............-
$.
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Received Permit and Inspection F...
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Fee Verified. Receipted and Recorded
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City T,.""..
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authori.ed 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.
It Is futher agreed by the undersigned that no other uses will be made of the ebove connections except IS hereinafter listed.
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