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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'? d15
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEW" WATER STORMS FEES FEES RELAY S. SEWER I WATER srORMS FEES
From MaID 10 Curb Seplic Tanks From Main 10 Curb
!'>om Curb to BuDding Eleelric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW u,. USED FlES NO. NEW REP. USED FEES "o. NEW RE,. USED fEES
- - - - - -
Ba!b Tub f--- Garbage DiRpooaIs Catch Buw
-
Wub BuiD DiRbwuhen Conductors
1- - - - -
Water CIONI Laundramats Greue Catch BuÏDs
-
Sink Water Softeners Sump Pump II: Ejeelors
/ /1/ ----
Water Heaters Sanitary Bubblers Bar and Soda Wutes
Shower Balha UriDals
FlOCII' Dralna Denial Cuspidors
-
Laundry Tubs Service SiDks
Inopecllona Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permi! and Inspection F-
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---------------------------------------------_--------Inside
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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 and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
" Is fulher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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