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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. I Block I Ward
OUTSIDE WORK
Permit
Street
and
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N? 9644
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f Addition or Replat
Data
NIW SEwn WATn STORMS FEES fEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb .i' o¿.f //1 t!/Y' If,æ Septic Tanks From Main to Curb
From Curb 10 BuUcIlnll Electric Pumps From Curb to Buücllng
Repair
INSIDE WORK
110.
NEW
u,.
NO.
NEW
REP. I USED I FEES
NEW
FEES
REP.
USED
tlo.
USED
FlES
Bath Tub
Garbage DilpoaalI
Catch Baslm
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Wub Basin
Dilhwashen
Conducto..
Water C_t
LaundrlUlUlil
Greue Catch Baslm
f-
Sink
Water Softene..
Sump Pump Be Ejectors
f--.-
Water Heata..
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
UrInals
Floor Dralu
Dental Cuspidors
Laundry Tubs
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Senice Sinks
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
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------.---/-'-ç;>Q..-Plbg. Fees
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Valuation of the Work Herein Described
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In the performance 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 for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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