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PLUMBING PERMIT - Oshkosh, Wisconsin
ø.....
of
Plumber
~ Name ~
.. of -
.-..... ..... ..-..-.-..-..-.................. Owner ..............~.~_<.... .......-. .............................
I~k I~ I~
OUTSIDE WORK
N<1 9770
....f.~t.......QL~.....AZt...._-
I Addition or Replal
Permit
Street
end
n." Number
Date
NEW SEwn WATE. STORMS FEES FEES .ElAY S. SEWE. WATER StORMS FEES
From MelD to Curb Septic Tanks From Main to Curb
From Curb 10 Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
REP. I USED
NEW
FEES
USED
FEES
"O.
.EP.
USED
FlES
NO.
Bath Tub
Garbage DiII~
Catch Buins
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I JoC
I }:,t)
Wash Buin
L
/
Dillhwubars
Conductors
Laundr&lllaltl
Grease Catch Buins
Water Cl_1
SIDk
Water Softeners
Sump Pump Ii: Ejectors
Water Heaters
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Sanitary Bubblers
Bar and Soda Wu!es
Shower Baths
Urinals
Floor Dr8lDa
Dental Cuspidors
Laundry Tubs
Service Sinks
Inspec:t1ons
o.-.......-........-..........-.......-_....----.OulBide
.......ifh/?:4.._..._......_........Inslde
=-£):12t!J~?ß.~====~~~;
Juation of tbe Work Herein Described
$...ú..~.~....",.~............._.._..............o
0
Fee Verified.1I:eipted and Recorded
Received Permü and Inspecllon Fees
............................Sewer F...
.......:i~Q..!:;...plbg. F..s
/):..ð".(io..Total
Date lL - ói..3 . 7 b
...........
........................................................
City T'.'..."
$"""""""""""'-""""""""""""'-"-"""""_"_"0
In the performance of this work tho undersigned owner (or his authorized agent) of said promises 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 uses will be mede of tho above connections except as hereinafter IIstèd
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