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PLUMBING PERMIT - Oshkosh, Wisconsin
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I BloCk_J Ward
Permit N~ 9454
Slreet ~ II
N:"':ber ---_/J.._i?:lf_/-!¿L~~o<h
¡ Lot No.
I Addition or Replot
Due
OUTSIDE WORK
NIIW SEWD WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaiD to Curb Septic Tanks From Mein to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
"P.
NO.
NEW
FEES
NEW
fEES
REP.
USED
UP. I USED
"0.
USED
FlES
Baih Tub
Z
<1
a.-
:2-
f2
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9.,°
J-.CI
Sonituy Bubblers
Bar and Soda Wastes
Garbage DÙI~
Catch Basins
b
Wuh Basin
Dilbwashers
Conductors
-::(;01
Gre... Cotch Basins
Laundromats
Water CJ_t
~ò
SIJIk
Water Softene..
Sump Pump Be Ejectors
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Wuer Heaters
Shower Baths
UriDaIs
Floor DraIDa
Laundry Tube
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Dental Cuspidors
Service Sinks
Inspections
XaÞ'Jtion of the Work Herein Described
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$-------------------------------...------------------------------
$----------------------------- ----------------------------------
Fee Verified. Receipted and Recorded
Received Permit and Inspecllon F...
---------7&ï-___---Sawer Fees
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City T...",..
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and hi. 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 for the government of Plumbers.
It i. futher agreed by the undersigned that no other use. will be mede of the above connections except as hereinafter listed.
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Plumbing In,pecto'