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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 16
Street ¿-/ ~
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I Lot No. I Block I Ward
OUTSIDE WORK
I Addition or Replat
Date
NOW SEwn WA"R STORMS fEES lEES RELAY S. SEWER WA"R STORMS FEES
From MaIn 10 Curb Seplic Taaks From Main to Curb
From Curb to BuDding Elecuic Pump" From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
RIP.
NO.
NEW
REP. I USED
NO.
NEW
fEES
REP.
USED
fEES
USED
FlES
Bath Tub
Garbage DiI~
Catch BulDa
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Wub Bum
Dilhwuhen
Conducto..
I~-
Wlter CI_t
LaundramatR
Gre... Cltch BulDa
f--
Sink
Water Softene..
Sump Pump III: Ejeclor.
þL
F-ðô
Sanitary Bubble..
Bar and Soda Wule.
Wilier Heate..
Urinals
Shower Baths
nODI Dr8lna
Denial Cu.pido..
Laundry Tube
Servlc:e Sinks
~:~::_"------"--,,,,-----,,__---,,Outoide l¡-ç:~~--:~-~:~:,,::r_::_:::=:: Fee Verüie~ Receipled and Recorded R~ei:~~_~;~~_S:::e:n;:tlon F...
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In the perlormance of this work the undersigned owner (or hi. authorired agent) of .aid preml.e. and hi. authorized Plumber hereby agree to be bounden by end
.ubmit to all .ta.tute., city ordinence., and rule. and regulation. prescribed by the Board of Public Work. for the government of Plumbers.
It I. futher egreed by the undersigned that no other use. will be made of the above connection. except a. hereinafter Ii.ted.
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