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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N'.? 161
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¿f¿/77 I I I
I Lot No. Block Ward
OUTSIDE WORK
I Addition or Replat
Date
NEW SEW" WAT" STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Cvb Seplic Tanks From Main 10 Curb
From Cvb 10 BuDding Eleclric Pumps From Curb 10 Building
Rapair
INSIDE WORK
NO.
NEW
UP.
USED
NEW
FEES
FEES
NO.
NEW
REP.
USED
FlES
NO.
REP. I USED
Bath Tub
Garbage DIa~
Calch BullIS
Wash Buin
DWtwuhen
Conduclo..
Waiar CI_t
!y
1""""'-
--
I.ù
?oo
Gr.... Catch BullIS
LaundrllDULls
Sink
Water Softena..
LL
/'
Sump Pump II< Ejeclors
Waler Heaten
Sanitary Bubblen
Bar and Soda Wules
Show... BaIh8
Urinals
~
,,/
':1-.0"
Danlal Culpidon
noor Dralzls
Laundry Tubo
Service Sinks
~tl-&_~~~~\~-~-----_---_--_Oulside :~I;aZ~~_~~::~--:::::_::::_: Fee Verified. Receipled and Recorded R~~i:::-~~=~S:::e:ns;:"lIon Fees
------------------------.-------------.-------_----Inside -------~.,._-_.P.__._.PIbg. F..I
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In the psrformance of thil work the undersigned owner (or hil authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all Itatutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It II futher agreed by the undersigned that no other uses will be made of the above connections except as hereinalier listed.
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