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PLUMBING PERMIT - Oshkosh, Wisconsin
Permil
N?
If.....
of
Plumber
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I Lot No. I~ I Ward
OUTSIDE WORK
Slreel
and
Number
12ß~~~
1- ...ddilion or Rel,laI
Dale
Naw SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID 10 Curb Seplic Tanks From Main 10 Curb
1\10", Curb to Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
RIP.
NEW
REP. I USED
NO.
FEES
NEW
REP.
USED
FEES
USED
FlES
NO.
_Tub
Garbage DIopo8eIo
Dlshwuhers
Catch Bulm
Wash BulD
7
7
I----
Jj6Ó
/.6(
Conduclors
Grease Calch Bulm
LaundremIIÙ
Water CIOI8t
Sink
Water Softeners
Sump Pump" Ejeclors
Water Healers
/
l6(
Sanitary Bubblers
Bar and Soda Wasles
Shower Baths
UrlDals
Floor Dr8lu
Dental Cuspidors
Leundry Tubs
Senice SlDb
~:~:_--------------------____.Oulside
~alion of Ihe ;ork HerelD Described
$---:J[¿JÓ-.-_O_-------------------------------.-----.---
Fee Verified. Receipled and Recorded
Received Permil and InspectIon Fees
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D~;:-'j2A;al
~~=:~~~~~:~~~~
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City Tree",e,
In tho performence of this work tho undersigned owner (or his euthorbed agent) of said premises and his authorized Plumber hereby agroe to bo 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 futhor agroed by tho undersigned that no other uses will be made of the above connections except as hereinafter listed.
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Pliunblng In,pe<to'
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Plumber
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