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PLUMBING PERMIT - Oshkosh, Wisconsin Permü N? 8490
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Date I Lot No. n__- --..I Block " I Ward I Add.ilio_n or Replal
OUTSIDE WORK
NEW SEWER WAtER STORMS FEES FE" R.,AY S. SEW" WATER STORMS FEES
From MaIft to Cub Seplic Tanks Fl'Om Main to Curb
F1rom Culb in Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
USED ~I NO.
NEW
REP. I USED
fEE.
NEW
'EES
REP.
USED
NO.
-,-,-
Batb Tub
I
,-,-
Cateb :øuiDs
Garbage Diaponh!
Wash Bum
Diabwasben
Conductors
-,-
Wat.., CI_I
Laundramall
Grease Ca!eb Buins
SIIIk
Water Softeners
Sump Pump II< Ejectors
Water Heaters
Sanitary Bubblers
u-
Bar and Soda Wastes
Show... .Batb8
Floor DraIDI
Dental Cuspidors
Laundry Tubs
wpediona
------------------ ____Outside
--------z=/iif; . wide
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----------FiDaI OK
Service Sinks
Valuation of the Work Herein Desorlbed
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Fee Verified. Receipted and Recorded
Received Permü and Inapaction Fees
------------------Sewer Fees
---j~~_-Plbg. Fees
--_.L~<:i.-_-Tofal
Date 1. ;2~ . 7"> -
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In the performance of this work tho undersigned owner (or his authorized agent) of sold premls.s and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Boord of Public Works for ¡he government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be mode of the above <onneotions except as hereinafter ¡¡sted.
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