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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 872
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I BlOCk' I Ward
17
I Lot Ho.
I Addition or Replat
Dale
OUTSIDE WORK
NEW sown WATER STORMS '"ES fEES RElAY 5- SEWER WATER STORMS fEES
Foom MelD 10 CW'b Septic Tanks From Main 10 Curb
From CW'b ID BuDdlng ./ -~ foz> Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
UP.
RES
NEW
REP. I USED
fEES
NO.
NEW
fEES
REP.
USED
USED
NO.
Bath Tub
Garbege DllpooaJo
Calch Basins
Wash Basin
Dllbwashen
Conducloro
Wal.. Clooel
LaundrarnaIJI
Grease Calcb Basins
I--
SIDk
Wale. Softenero
Sump Pump 8< Ejectoro
Wale. Healers
Sanitary Bubblers
Bar and Soda Wasles
Show.. BaIhs
Urinall
nOM Do8111s
Denial Cuspldoro
Laundry Tubs
Inspec!ions
Service SInks
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Fee VerUled, Receipted and Recorded
Received Permit and Inspeclion Fe..
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City T""""
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby au"e to be -bounden by and
submit to all statutes, city ordinanc.., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher ag",ed by the undersigned that no other usos will be made of the above connections except as hereinafter listed.
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