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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<:.' 728
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I Lot 11'0. I Block I Ward l Addition or Replat
OUTSIDE WORK
Date
NOW SEwn WATER STORMS FEES FEES RE'AY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
!'10m Curb to BuUdlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP-
NO.
NEW
REP. I USED
NO.
NEW
USED
FE"
REP.
fEES
USED
FE"
Bath Tub
Garbage DiI~
Catch Bulna
Wuh Basin
Dishwashers
Conductors
I~-
Water Clooot
LaundrllDllLb
Greua Catch Baslus
SIDlE
Water Softeners
Sump Pump II< Ejectors
Water Heaters
/
/tTC.
Sanitary Bubblers
Bar and Soda Wast.s
Shower Baths
Urinals
Floor DraIDs
Dental Cuspidors
Laundry Tuba
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Service Sinks
Valuation of the Work Herein Described
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.
Fee Verified. Receipted and Recorded
Received Permit and Inspection F...
---------------------------Sower F...
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--------./~--~---Total
-----------------------Final OK
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Date
'Lcß-f: 7 7
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by and
submit to all statut.s, city ordinances, and rules and rogulations proscribed 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 above connections except as hereinafter listed.
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