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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. I Block I Ward
OUTSIDE WORK
Permit N? 9845
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I Addition or Replat
Date
NOW SEwn I WAtER S'ORMS FEES FEES RELAY S. SEWER WAtER STORMS fEES
From MaIn 10 Curb Sepllc Tanks From Main 10 Curb
From Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
REP. I USEO
NEW
U$lo
fEES
fEES
"0.
REP.
USED
flES
NO.
Ba1b Tub
Garbage Dilpooa1s
Catch Basins
f--
Wash Basin
Dilhwashers
Conduclors
Wilier Cl_t
Laundr8DU1i8
Greue Catch Basins
f-----
Sink
Water Softeners
Sump Pump 8c Ejeclors
Water Hoate..
1/
Sanitary Bubblers
Bar and Sode Wastes
if/. (j)
Sho.... Baths
UriDeIs
F1oor DreIDs
Denial Cuspidors
Laundry Tuba
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Service Sinks
Fee Verified. Recelpled and Recorded
Received Permit and ¡nspaellon Faaa
----------------------------Sewer F...
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Dale 1'<030, '1 t:,
~alion of Ihe Work Herein Described
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In tho performance of this work Ihe undersigned owner (or his outhorired agent) of said premises and his outhorired Plumber hereby agree to be bounden by and
.ubmlt to all statutes, city ordinances, and rules and regulolions prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other usos will be made of the above connections except as herelndter
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