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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 9836
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I Block I Ward
I Lot No.
t. þ'ddilio_~,--iI!l'lai
Date
OUTSIDE WORK
NEW SEWn WATE' STORMS FEES FEES 'ELAY S. SEWER WATE' STORMS FEES
From MaIn to ClUb Septic Tanks From Main to Curb
........ ClUb to Building Electric Pumps From ClUb to Building ~
Repair 111 ' j" D ()
INSIDE WORK
NO.
NEW
FEES
UP.
USED
"ES
NO.
NEW
'EP. I USE.
'EES
NO.
NEW
'EP.
USE.
BaIb Tub
---
Wash BulD
Garbage Diopono
Catch Basins
Dishwashen
Conductors
Water CIOI8t
Laundromats
Greue Calch Basins
f--
Sink
Waler Softeners
Sump Pump" Ejectors
Water Heaters
SBDilary Bubblers
Bar end Soda Wastes
Shower IIaIha
Urinals
nOOl' Dr8lssa
Dental Cuspidors
+-----1--'-'-
Laundry Tubs
Inspscllons
- - - - Serrice Sinks
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Fee Verified. Receipted and Recorded
Receivad Permit and Inspection F-
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'YÞ-. &a....._.....Total
Date j,;1.,3o.1&
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In the performance of thi. work the unde..igned owner (or hi. luthoriled agent) of .Iid premise. and hi. luthori%ed Plumber hereby agree to be bounden by and
submit to all statute., city ordinances, and rules and regulation. pre.cribed by the Boud of Public Wo,ks for the government of Plumbers.
It I. futher agreed by the undersigned that no other uses will be made of the above connection. except as hereinafter listed.
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