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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9035
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I Lot No.
"::""d' / e-
m Number
I Block I Ward
I Addition or Replat
Date
OUTSIDE WORK
NIW SlWEa WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
REP.
NO.
NEW
NO.
fEES
NEW
REP.
USED
REP. I USED
fEES
USED
II"
Bath Tub
Garbage Disposals
Catch Buhts
--
Wuh Basin
Dishwashers
Conductors
Water Cl_t
Laundrama.bi
Gre... Catch Basins
f--
Sbsk
Water Softeners
Sump Pump Be Ejectors
/
Water Heate..
v
sanUary Bubble,s
Bar and Soda Wastes
Shower Baths
Urinals
Floor Dr8Ù18
Laundry Tubo
Dental CuspidoR
r-
Service Sinks
¡""pectio""
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Valuation of the Work Herein Described
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.
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fe..
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.
In the performance of this work the undersigned owner (or his authorbed agent) of said premises and his authorbed Plumber hereby a9"ree to be 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 futher agreed by the undersigned that no other uses will be mede of the above connactions except as hereinaltar listed.
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