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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9042
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Date I Lol No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
NIW SEW" WATER STORMS FEES FEES R"AY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tenks From Main 10 Curb
,....,.. Curb to BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
USID
NEW
FEES
FEES
NO-
NEW
REP. I USED
REP.
USED
FlES
NO.
UP.
BathTub
Garbage D~
LI
v~
Catch Basins
Wash Basill
Dishwashers
Conductors
Water Cl_1
Laundrema.18
Gre.... Catch BasÙIR
-I--
SIDk
Water Softeners
Sump Pump" Ejectors
Water Heaters
Sanitary Bubblers
Bar end Soda Wasles
Shower BaJhR
Urillals
noor Drelns
Denial Cuspidors
Laundry TubI
Service SiDles
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Valuation of Ihe Work Hereill Described
$ -- m-2~<{_:_-~f2_m____________m_mm__-
$- - m_m m _m- m___- ---- - ----- m --- - _m -- mm_m - --__mm--
$----- mm______-- ____m___m_m__m___---__----------
Fee Verified, Receipled and Recorded
Received Permit and Inspecllon F-
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In the performence of this work the undersigned owner (or his authorized agent) of .aid premise. and hi. authorized Plumber hereby a;;;;7. be bounden by and
submit to all statute., city ordinance., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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