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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 9981
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! Lo.I No. I Block ~ _I Ward u_~_J Addition or Replot
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of
Pl1lJDbu
Date
OUTSIDE WORK
NEW SEwn WATER STORMS FEES filS 'ELAY S. SEWE' WATE' STORMS FEES
From MaIn to Curb Septic Tanka From Main to Curb
h>m Curb to BuUdlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
110.
NEW
..,.
NEW
.E'. I USED I fEES
USEO
FlES
NO.
BathTub
L
2-
-1
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;t,Gl
VßG
1.7f.
Sanitazy Bubblers
Garbage DispooaIs
Dishwashers
Wuh Basin
711-1/- eo
Wat... CloNt
Laundramats
SIDk
Water Softeners
Water Heate..
Shower Baths
Urinals
I'I.ocw Drain8
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Dental Cuspidors
Launcky Tubs
Service Sinks
Iaspeclions
val>¡lÏon ~he Work Herein Described
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Fee Verified. Receipted and Recorded
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City T,...u,"'
NO.
NEW
.E'. I USED
FEES
Catch Basins
Conductors
Gre... Catch Basins
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J.av
Sump Pump 8c Ejectors
7
Bar and Soda Waste.
Received Permit and Inspection Fees
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"'-:¡fë;~~i})Plhg. Fees
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Date
In the performance of this work the undersigned owner (or hi. authorized agent) of said premis.. and his authorized Plumber hereby agr.e to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Work. for the government of Plumbers.
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It Is futher agreed by the undersigned that no other uses will be made of the above connections except as h
isted.
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