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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 9930
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-..._---------- -..- -...-.--.-.--------..--..---..-..------- Owner ---- -- ',/2-<--.--..--.- --- -,-----------..-.-- - --.----..---.-----------
I Block I Ward
I AddUion or Replal-
I Lot No.
Dal.
OUTSIDE WORK
NOW SEWn WATER STORMS FEES fEES RElAY S. SEWER WATER STORMS fEES
From MaIn 10 C...b Septic Tanks From Main 10 Curb
From c...b 10 Building Electric Pumps From C...b 10 Building
Repair
INSIDE WORK
NO.
NEW
REP.
NO.
NO.
fEES
NEW
NEW
REP. I USED
fEES
REP.
USED
USED
flES
BaIb Tub
Garbage Dilpooa1s
Dilhwuhen
Catch Basins
Wash Basin
Conducto..
Waler Clcoel
Laundramals
Gr.... Calch Basins
¡--
Sink
Waler Soften...
/
Sump Pump 8< Ejeclo..
I//oc;
Waler H.aI...
sanUary Bubble..
Urinals
Bar and Soda Wasles
Shower Baths
Floor Drabu
Denial Cuspido..
Laundry Tubo
~~::_.._.._._----_.--._..._--_____Oulside
Service SlDb
Fee Verified. Receipled and Recorded
~alion of Ihe Work Herein Described
$---------g¡;;-~-_cJ.--Q._--_._--------_._----_._-----------_._--
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Received Permil and Inspection Fees
--------------------------58w.r F...
1'2;::~~:::::::::; F...
,;£. -- l(p. 77
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City T,....",
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Dale
In the performance of this work the undersigned owner (or hi. authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
.ubmlt to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafiar listed.
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