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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? ~
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Daie
NEW ." SEwn WATER RElAY
,/, STORMS FEES 'EES S. SEWER WATER srORMS 'EES
From MaiD to Curb Septic Tanks Fmm Main to Curb
From Curb 10 Bulldlng Electric Pumps F~om Curb to Building
\ Repair
INSIDE WORK
NO.
NEW
RE,.
NEW
RE,. I USED
"ES
'EES
NO.
NEW
RE'.
USED
USEO
"..
NO.
Baib Tub
f/
f"Ç+-
Catch BuiDs
LI
Gubage D~
Wub BulD
Dishwuhen
Conducto..
VP~
1/
Gre... Caich BuinR
LaundramaiR
Waiar Cl_t
v~
Siak
Wafer Softane..
Sump Pump Be Ejectors
/
Sanitary Bubble..
Bu and Soda Wutes
Wafer Heaiers
Sbowar Baths
UriDals
noor ~aiDS
Dental Cuspidors
...~-
Launœy Tube
Seroice Sinks
IDlpect1ons Valuation of the Work HerelD Described Fee Verified. Receipted and Recorded Received PermU and Inspection F...
-'-""-'-""-"-""'-¿7;;]...........Oubide $ r' ~ to CJ ' ?I) /Ì .........................Sewer Fees
¡?;£ tJ.lJ. 7f-ft.. ~ n...{p.~...........................!dU-............... ~ ~ 0 ¿¡
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In the performance 01 this work the undersigned owner (or his authorized agent) 01 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 Boud of Public Works for the governml!J>f"ÕÎ,Plumbers,
It Is luther agreed by the undersigned that no other uses will be made of the above connections except as hereinaft,