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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9351
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I Block I Ward
l Lot No.
I Additio_n~r Replot
Dua
OUTSIDE WORK
NEW SlWD WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
hom Curb 10 BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
"P.
fEES
fEES
NO.
USED
flU
NO.
NEW
REP. I USED
NEW
REP.
USED
-
Beth Tub
Garbage Dilpon!s
Catch BulDs
f--
Wub BulD
Dilbwuhars
Conductorl
Wuer Closet
Laundrama1s
Greue Cuch BulDs
f--
SIDle
Wuer Softeners
Sump Pump" Ejectors
Wa1ar Haue..
/
Bar and Soda Wutes
:£óò
Sanitary Bubblers
Shower Baths
UrlDals
Floor DraIDs
Dental Cuspidors
"""dry Tubs
Senice Sinks
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Val~i~ of the Work Herein Described
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.
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
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C;ty T'.'....,
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In the perlormlnce 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 lor the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be made 01 the above connections except as hereinafter listed.
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