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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N'? 9204
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I Block ----j Ward
Dale
l Lot Ho.
I Addition or Replat
OUTSIDE WORK
NEW SEWn WATE' STORMS "ES FEES RELAY S. SEWE' WATER STORMS "E'
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RE'.
NO.
NEW
FEES
NEW
U'E'
FEES
.E'. I USE'
"0.
RE'.
USED
FRES
BaIb Tub
/
Garbage Dilpoeals
Catch Bow
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Wasb BolD
/
Dishwobars
Conductors
Water CIONt
Laundrama.!tl
Gre... Caleb Bow
Sink
Waler Softeners
Sump Pump" Ejectors
Walar Healers
Sanilary Bubbler.
Bar and Soda Waste.
Shower Baths
Urinail
Floor DrIlIns
Dental Cuspidors
Laundry Tubs
Service SlDb
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~1ation of tbe Work Herein Described
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.
Fee Verified. Receipted and Recarded
Received Permit and Inspection Fees
.:;;r..n...............Sawer Fees
,Ñ..,£'Œ..L..plbg. Fee.
l'.&.ê15.....Total
Dale .s:/7/7/¡Ç.
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In the performance of this work the undersigned owner (or his authorirad agent) of said premises and his authorized Plumber hereby agree 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 use, will ba made of the above connections except
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