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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9717
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I Lot No. .J Block I Ward ..l Addition or Replat
Date
OUTSIDE WORK
NI'II slwn WAn. STORMS filS filS RIOAY S. SIWE. WATER STORMS filS
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From MaIn to Curb Septic Tanks From Main to Curb
FJom Curb to BuDding {J // r:;z: Ij~D " 9. CJD Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
.EP.
NO.
NIW
FEES
filS
NO.
NEW
.IP.
USID
.EP. I USED
USID
..IS
Be!h Tub
Garbage Dilpooala
Dilbwashen
CUch Basins
f-~
Wash BulD
Condudo..
Water CI_t
Laundromats
Gre... Cateh Basins
I--
Sink
Water Softene..
Sump Pump 8< Ejectors
Water Heate..
Sanitary Bubblers
Bar and Soda Walles
~óò
Shower Baths
Urinals
./'il ivN
//V<--~
Fi
Floor Dratu
Denial Cuspidors
Laundry Tuba
Serviee Sinks
Y~ation of the Work HerelD Described
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Received Permit and Inspection Fees
:¡¡......,J~..Ç¿f2..Sewer Fees
.~.:.Q..ò.....Plbg. Fees
n.....$:";.O.ð.....Total
II-~'l 7 ~
Fee Yerlfied. Receipted and Recorded
I...pectI~~ hI /2.&............Outside
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Date
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by ond
submit to all statutes, oily 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 usas will be made of the above connections except as hereinafter listed.
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