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PLUMBING PERMIT - Oshkosh, Wisconsin ParmI! N~ 9342
R ~ Name .~ Slreet /),...-"1;"/ -.l-
" of, and cAJ /J ~
._.....J!...... ...OL.... .." ...... .........."..,....""......." Owner ",......:"t1,~"...,......, ......"........"..".. .. ......"....,.."......."..", Number ...".......,..........:......,.".....t!J~ ""
I Lot No. I BlOCk' I Ward __1 Addition or Replst
OUTSIDE WORK
N-
of
Plumber
Date
.
NIW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb Iv BuDding fJ/e,~ JIf&J1) ;g~ 06 Eleclric Pumps From Curb to Building
v
Repair
INSIDE WORK
NO, NEW UP. USED FEES NO, NEW REP, USED FEES "O, NEW REP, USED fEES
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Bath Tub Garbage DÏIpoRa]II Catcb Basins
Wub Basin Dishwashers ~ Conducto..
- - -
Water CI_t Laundramabl Gre... Catch Basins
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SIIIIo: Water Softene.. Sump Pump Ik Ejectors
Water Heaten Sanitary Bubblers Bar and Soda Wasles
Shower BatbR UriD81s ~
F1oo;r Drelu Dental Cuspidors
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Laundry Tube Service Sinks
IJ1IP8d1ona Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received ParmI! and Inspection Fees
~=::::= 7;!J.:~..1jZ~:~:: ~ ::c::~~: $,.30.0"....0,0"...""",..".........."" "..,... ...3.,..O72.....Sawer Fees
m"¡'.,,,Ç!P.....PIbg. Fees
$", ",.."..",...,..,.....................""",..""""..".."..,.., D~:'~;t~
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agre. to be bounden by ...d
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 made of the above connections except as hereinafter ..
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Plumbing Ino_,
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