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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 9101
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I Lol No.
r Block I Ward
I Addition or Replat
Date
OUTSIDE WORK
NIIW SEW" WATER STORMS fUS fEES RElAY S. SEWER WATER STORMS fEES
From MaIn to Curb t: // eI ¡z/ê;9'" 4;/-:()ò Seplic Tanks From Main 10 Curb
FIom Curb to BuDdIng Eleclric Pumps From Curb to BuildIng
Repair
INSIDE WORK
NO.
NEW
RE'.
NEW
fEES
REP. I USED
fEES
NO.
NEW
REP.
USID
FlES
NO.
USED
Batb Tub
Gorbage DiIpooala
Catch Bulm
Wuh Buin
Dillhwuhen
Conduclo"
Wat.. ClOl8t
Laundramab
Gre... Catch Bulm
r-
f---
Sink
Water Soften...
Sump Pump 8< Ejeclo..
Water Heate..
Sanitary Bubble..
Bor and Soda Wastes
Sho..... Baths
UrÏl1lllJl
I~-
noor Dralu
Dental Cuspido..
Laundry Tub8
Service Sinks
Iupect1ona va'tion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fe..
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In the performance of this work the undersigned owner (or hi. authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statute.. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
Ills futher agreed by the undersigned that no other uses will be made of the aboye connections exceeLas hereinafter listed.
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-rJ.d, Plumbing I.oped<>'