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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N~ 9481
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I Lot No. I Block I Ward I Addition or Replal
OUTSIDE WORK
Dale
NEW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn 10 Curb Sepllc Tanks From Main 10 Curb
h>m Curb 10 Building ILL "/"1,' j"cø Id.o-z:i Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
NO.
NEW
FEES
FEES
PlO.
NEW
REP,
USED
REP. I USED
REP.
USED
FEES
Bath Tub
Garbage DIa~
Catch Buioa
Wub Bum
Dishwuhers
Conduclors
Wat.. Cl_t
Laundramals
Greue Catch Buioa
SIDk
Water Softeners
Sump Pump 8< Ejeclors
Water Heaters
sanUuy Bubbler.
Bar and Soda Waste.
Show.. Baths
UriDaie
noor Drains
Dental Cuspidors
I~-
Leunclry Tubs
Service Smks
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
....__.._~_:n~n.Sewer Foes
_____.L._~._plbg. Fee.
nnnn_-"f.-_~_Total
Valuation of Ihe Work Herein Descrihed
$__.3..Qf2:_.~_n__-
$-
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Dale
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In the performance of this work the undersigned owner (or his authorizad agant) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutas, 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 ebove connections except as hereinafter Ii~tec .
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