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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 965
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I Lot Ho. I Block I Ward
OUTSIDE WORK
I Addiiion or Replat
Due
NIW sown WAtER STORMS FIlS FEES RltAY s. ,IWIR WATER STORMS FEES
From MaIn to CW'b Septic Tanks From Main to Curb
From CW'b to BuDding Elactric Pumps From Curb to BuilcUng
Rapair
INSIDE WORK
NO. NEW RE'. UsEO FIlS NO. NIW RI,. UsEO FEE' NO. NIW RE'. USIO FEES
Y Ba1b Tub .-/ 2,0<>- Garbage Disposala Catch Bolns
r Wuh Boin v' 2,= Disbwohera I--- Conducioro
./ ~ -
'Y Water Cl_t 2, oz;> -" Laundrema1s ./ 2,a Gre... Catch Bolns
/ -
2". SIJIIo: 2.,= Water Softenero I Sump Pump &: Ejectors "/ I. at
~ Wa1er Heaters V' :z..~ Sanitary Bubblers Bar and Soda Wastes
Shower Baths Urinals
/ Floor Dra1Da V ¡7ov Dental Cuspidors
I~ -
I Laundry Tube / ¡db Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspecllon Fees
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----./~ßP---_P1bg. Fees
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In the performonce of this work tho undersigned owner (or his authorized agent) of said premises and his authorized 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.
by the undersigned that no other uses will be mode of tho above connections except as hereinalter listed.
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