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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 9666
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I Lot No. ____mJ Block I Ward I Addition or Replal
Dale
OUTSIDE WORK
NEW SEwn WAfER S'ORMS fEES fEES RELAY S. SEWER WAfER STORMS fEES
From Main to C...b Septic Tanks From Main to Curb
Foom C...b 10 BuDding Electric Pumps From C...b to Building
Repair
INSIDE WORK
NO.
NEW
..,.
FlES
NO.
NEW
RE,. I USED
fEES
USED
Bath Tub
I~
¡'W
~
1/ ,....:::
Garbage Dlo~
Dishweshon
Wash BàsiD
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Water CI_t
Laundramall
SIIIk
Waler Softeners
Water Heate..
l
Sanitary Bubblers
Shower Baths
Urinals
Floor DraIDs
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Dental Cuspidors
Laundry Tubo
Service SiDks
NO.
NEW
USED
fEES
REP.
Catch BeslDs
Conductor.
Gre... Calch Besinll
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Sump Pump &: Ejectors
I
Bar and Soda West..
Inspections Valuation of the "J!!ðk Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Feet
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In the performance of this work the undersigned owner (or his authorbed agent) of said premises and his author ired 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 unde..ignoc! that no other uses will be made of the above connections ex~pt as hereinanp'listed.
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