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PLUMBING PERMIT - Oshkosh, Wisconsin
permi?£y~ 9819
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Hame
of
Pl\IIDIIH
~ Name
of -
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I Block I Ward
OUTSIDE WORK
I Addilion or Replat
Street
and
Number
I Lot No.
Data
NEW SEW" WATE' STORMS FEES FEES .ELAY S. SEWE' WATE' STORMS FEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
From Curb to BuDding Electric Pumps From Curb 10 Building Z
Repair I.Dd
()
INSIDE WORK
110.
NEW
UP.
NO.
NEW
'EES
'EP. I USED
FE"
"0.
NEW
'EP.
USED
USED
FE"
Batb Tub
Garbage DilpooaIs
DiIb..uhen
Catch Bulns
Wub Buin
1
-:J
--
-
j.~t
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Conduclors
Greue Catch Bulns
LaundrlSlllals
Water Cl_1
SIDk
Water Softeners
Sump Pump" Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wasles
Shower Baths
/
7
I/, ö(;
), a
Urinale
noor Drains
Denial Cuspidors
Laundry Tubs
Service Sinks
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Fee Verified. Receipled and Recorded
V~IiOn of Ihe Work Herein Described
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0
Received Permil and Inspection F-
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City ,..."'"
0
Date
In the performance of this work the undersigned owner (or his authorized agent) of ,aid premise, and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinences. and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
II Is luther agreed by the undersigned that no other uses will be mede 01 the above connection~ except as heroinaltar listed.
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