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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9975
I- I ¡J Name Streel ~ .>it(
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I Block I Ward
H-
ot
PIWllber
I Lot No.
Date
OUTSIDE WORK
¡ Addillon or Repla.l
--
NOW SEWn WATER S'ORMS 'EES FEES RELAY S- SEWER WATE' STORMS 'EES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO-
NEW
UP-
USED
NEW
FEES
HES
NO-
REP- I USE'
BaJb Tub
L
L
/
Laundramats
/-. ìJt
1-
/-ðõ
I/,õo
Wuh Basin
Garbage Dispol81s
Disbwashers
Water CIoeeI
Sink
Water Sottene..
Water Heaters
Sanitary Bubble..
Shower Baths
Urinals
1-
noor Dr"'"
Denial Cuspidors
Leunclry Tubs
I...pecIions
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Service Sinks
va14on 01 Ihe Work Herein Described
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.
Fee Verilied. Receipted and Recorded
----
--------------ë-;iÿ-T;~;~;ë;--------------------------
.
NO.
NEW
REP. I USE.
FEES
Catch Basins
Conducio..
Gre... Catch Basins
~
Sump Pump 8< Ejeclors
Bar and Soda Wasles
Received Permit and InspeelioD F...
----------------------------50wer F-
,ß-~~u_Q-Q----PIbg. Fees
"1'----------,,_--Qi:;)_-_TOlal
Dale .;t .Ig- -1'7
In the psriormance 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.
It is futher agreed by the undersigned that no other uses will be made of the above connections except a~!J>after listed.
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