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PLUMBING PERMIT - Oshkosh, Wisconsin
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Permit N~ 9895
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I Lot No.
I Addition or Replal
r::--- I Ward
Dale
OUTSIDE WORK
NOW SEW" WATER E FEU FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 C\I1'h Seplic Tanks From Main to Curb
From C\I1'h to BuDding Electric Pumps From C\I1'h 10 BuUding
Repair
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INSIDE WORK
NO.
NEW
flU
NEW
REP. I USED
NEW
FEES
REP.
USED
FEES
"O.
REP.
USED
NO.
BaIb Tub
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I
I
7
7
7
I
Sanitary Bubhlers
Bar and Soda Waste.
Garhage Dillposals
Catch Basins
Dishwashers
Conductors
Wuh Basin
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Gre... Calch Basins
1
Water Clooel
Laundram&IJ
Sink
Water Softenero
Sump Pump" Ejectors
/
7
Water Heaters
Shower Baths
Urinals
n... Drailu
/
Dental Cuspidors
J
Laundry Tube
Service Sinks
IDlped1ons Val~ion of the Work Herein Deocrihed Fee Verified. Receipted and Recorded . Received Permit and Inspection Fees
-----'-'-~-¡-----f;"'i(j----.__._-____---Oulside $ ~.::?:=OG2. 6.a~----/j-.__..._Sewer Fees
~:::711;t.:i~-¡-::::Z21ifJ/1 $.--- ~._---_......_-~..._._.-..:..._..__....~..~............... .---------------------------------------.------------_.--- ~f;ß:::::~n;:; F...
-~¥fi-9------FiDaI OK $-----------.----------------------.---.-.-----.---------------- City T,..."., Date d;:!; //
In the perform.nce of this work the undersigned owner (or hi. authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by and
submit to all statute.. city ordinance.. end rule. and regulation. pre.cribed by the Board of Public Works for the government of Plumbers.
It i. futher agreed by the undersigned that no other use. will be made of the above connections except a. hereinafter listed.
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