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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 9130
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I Lot No. I Block I Ward I Addition or Replat
N--
of
Plwnber
Data
OUTSIDE WORK
Naw SEwn WAtER STORMS lEES FEES RELAY S. SEWER WAtER STORMS FEES
From MaIn 10 Cwb Septic Tanks From Main 10 Curb
From Cwb 10 Bulldlng Electric Pumps From Curb 10 BuUdlng
Repair
INSIDE WORK
NO.
NEW
RIP.
FlES
NEW
REP. I USEO
NO.
FEES
USED
NO.
_Tub
Garbage DÎIpOI8k
Calch BolDs
I--
Wuh BolD
Dishwohen
Conductors
Wilier CI_I
Sink H6I¡V/
Laundramaltl
Graue Cllich BolDs
1/
I> ~Ò
Wilier Softeners
Sump Pump Ik Ejectors
Wlliar Helliars
Sanitary Bubblers
Bar end Soda Wastes
Jìy '" / A "/ ...r; ;r ~
Shower B8ihs
UriDala
noar DraIDs
Dental Cuspidors
Laundry Tubs
~ :~_:-- - _m - _____m --- --__-Outside
Service Sinks
NEW
/
REP.
USED
FEES
I--
/tJO
V~tion of the Work HerelD Described
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$
R
Received Permit and Inspection Fees
-_m_mm_mmhmSewer Fees
~:£;gg::::::::; Fees
Date ~.4/?ó
Fee Verified. Receipted and Recorded
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City T..,,",.,
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 end
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 usas will be mede of the above connections except as he~eina listed.
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