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PLUMBING PERMIT - Oshkosh, Wisconsin
N~ 618
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Date I Lot No. I Block I Ward _1- Addilion or Replal
OUTSIDE WORK
Permil
NOW SEWEa WATER STORMS FEES FEES RElAY S, SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb to BuDdlnll .-- ---- cf,ø Eleclric Pumps From Curb 10 Building
Re¡ÍÌûr
INSIDE WORK
110.
NEW
REP,
NEW
NO,
FEES
REP. I USED
FEES
NEW
REP.
USED
USED
FlES
NO,
Batb Tub
Garbage Dlo~
Calch Bulna
Wuh Basin
Dishwashers
Conduclors
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Water Cl_t
LaundramaIJ
GrO8l8 Catch Basins
r----
Sink
Water Softeners
Sump Pump 8< Ejeclors
Water Heaten
Sanilary Bubblers
Bar and Soda Walles
Shower Baths
Urinalo
Floor Dre1ns
Laundry Tub8
Denial Cuspidon
Service Sinks
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$-
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Fee Verified, Receipled and Recorded
Received Permit and Inspection F-
_'?'_f'?2----------Sewer F...
_..I'Lqt?___---m__Plbg. Fees
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IDipectiol18 ----_----_---Oulslde
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---7/Wl-7-----F111a1 OK
In 'the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agrae to IiÓ 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 th~ undersigned that no other uses will be made of the above connections except as hereinalter listed.
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