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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9728
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I Block I Ward
1- Lot No.
I Addition or Replat
Date
OUTSIDE WORK
NEW SEWEI WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From Main 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuUdIng Eleclrlc Pumpa From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
USED
NEW
REP. I USED
NEW
fEES
REP.
USED
fEES
NO.
flES
NO.
REP.
IIaIh Tub
GlIl'bage DiI~
Ca1c:h Buw
I--
Wuh Buin
Dilhwuhen
Conducto..
Water CIONI
LaundrØll1&lJl
Greue Catch Buw
f---
Sink
Water Softene..
Sump Pump" Ejeclo..
Wllt8r Heat...
Sanitary Bubble..
/
Bill' and Soda Wasl.s
v~Q:';
Shower Baths
Urinals
Floor Dr8iDI
Denial Cuspldo..
~
Laundry Tube
Service Sinks
~:~~:------ ----....-----------_--._Oulside iluall:n ~f ,Ih:;ork Herein Described Fee Verified, Receipted and Recorded Rec:~i~~~_~e~=il_:"::e:n;':lion Fees
jf¡~~~ :~~~-==:==-,.,~--- .f:~?;:
In the performance 01 this work the undersigned owner (or his authorized agent) 01 said premises and his authorired Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board 01 Public Works lor the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be made of the above connections exce"" as hereinafter listed.
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