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PLUMBING PERMIT - Oshkosh, Wisconsin
Street
and
----.. Numbar --
N~ 9999
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Permit
H-
of
Plumber
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I Block I Ward
I Addition or Replat
I Lot No.
Date
OUTSIDE WORK
NEW SEwn WATER STORMS fEES FEES R"AY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
~ Curb to BuUcUng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
USED
NO.
NEW
REP. I USED
NO.
NEW
FEES
REP.
USED
FEES
UP.
fEES
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Bath Tub
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ITCO
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Sanitary BubbleR
Bar and Soda Wastes
Garbage Dlsponh
Catch Buins
Wub Basin
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Dlsbwuheu
ConductoR
Gre.... Catch Basins
LaundrlllDÙS
Wat- Cl_t
h-
j,ò¿s
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Sink
Water SofteneR
Sump Pump" Ejectors
Water Heat...
Show- Baths
Urinals
noor Drains
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Dental CuspidoR
Laundry Tubs
Inspections
SerYlce Sinks
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Fee Verified. Receipted and Recorded
Received Permit and Inspection F-
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-.¡¡f;.&D./1.---plbg. Fees
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In the performance 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 conneclions except as hereinafter listed.
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