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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N<2 709
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I Lot No. I Block I Ward I Addilion or Replal
OUTSIDE WORK
Dale
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NIW SIWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
Fmm Curb to BuUc1Ing Electric Pumpa From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
u,.
USED
flES I NO.
NEW
REP. I USED
FEES
NO.
NEW
RE'. I USED
fEES
BaIb Tub
I---------
Garbage Dlspooah
Catch Bulu
Wuh BulD
Dlshwuhers
/
V 'TV
Conduclors
Wat.. Clooet
Laundramals
Grease Catch BuiDs
f--
Sink:
Water Sefteners
Sump Pump" Ejeclors
Water Heaters
Sanilary Bubblers
Bar and Soda Wules
Show.. Baths
UriDa1s
Floor DraiDo
Denial Cuspidors
Laundry Tubo
IDSpectiol1ll
-.--.mm--m.---..-....................m....Oulside
............m........m....m..--.--..................IDSide
Sen.ice SIDks
------.........._.__m.........m.......EiDal OK
Valualion 01 Ihe Work HerelD Described
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Fee Verified. Receipled and Recorded
..........m....."."......"....--m.----..m..........
CUy T'H"'"
Received Permil and Inspecllon Fees
m......mmmm.mSewer F-
J. r-v
m::::::::Z:~::::; Fees
t7 .2Ý- 77
Date
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
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 thet no other uses will ba made of the above connactions except as hereinafter listed.
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