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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 561
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I Addition or Replat_-
l Lot No.
I~I Ward
OUTSIDE WORK
Date
NIIW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID. to Curb Septic Taaks From Main to Curb
From Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
NO.
FEES
NEW
REP. I USED
FEES
"O.
"EW
REP.
USED
FlES
REP.
USED
Bath Tub
1
/
7
/
7
z
Catch BulDo
/lb
jtt.
. ([ì
l v-
Garbage D~
DJshwuhers
Conductors
Wub Buln
7
Greue Catch Bulns
;; ()C,
¡,DD
1/,tC
LaundrIUD8Ù
Water CIONt
/
/"'~)
Water Softeners
Sump Pump 8< Ejectors
SiDk
. 1..-
./, l-
Sanitary Bubblers
Bar and Soda Wutes
Water Heaters
Shower Baths
u-
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Ir#Þ..n~Jl~
(¡
/
l3!J
Floor ÐraiDa
I
.--
IV"
, "
Dental Cuspidors
Laundry Tubs
Serrice Sinks
IDipect!ons V~atlon of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the p.rlor';;ance of this work tho undersigned owner (or his euthorbed agent) of said premises and his authorized Plumber hereby agree to be boundan 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 thet no other uses will be mede of the above connection
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