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/ PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.' 9422
CfL~ Z ~~&-'- ~~12~~
I L<>I No. I Block I Ward I Addilion or Repla1
Daie
OUTSIDE WORK
NEW SIWEII WATE. STORMS FE" FEES .ELAY S. SIWI. WATE. STORMS '""S
F...... MaIn 1o Curb Septic Tanks From Main 10 Curb
nom Cub 10 Building d'/" ¡4C, ~ Eleclric Pumps From Curb 10 BuUdhtg
Repair
INSIDE WORK
NO.
NEW
U!lo
NIW
.IP. I USED
"O.
USED
"'S
NIW
.IP.
FEES
....
NO.
UP.
Ba1h Tub
Garbage Dioponh
Diohwuhen
Ca1ch BulDs
f--
Wuh Buln
Conductou
Wai.. CI_t
Laundramals
Greua Caich BulDs
f--
Sink
Waier Softeneu
Sump Pump 8< Ejeclors
Wa18r Heaiers
Sanilary Bubblers
Bar and Soda Wastes
Shower Baths
UrinaJa
Floor DraIDs
Denial Cuspidors
Laundry Tub<
Service Sinks
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Valualion of the Work Herein Described
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Fee Verified. Receipled and Recorded
Received Permil and IlUIpeclion Fe"
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Dale 7'. d2 Ii, 7 b
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City T....""
In the performsnce of this work the undersigned owner (or his authorizad agent) of said premises and his authorized Plumber hareby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribad by Ihe Board of Public Works for the government of Plumbers.
II is futher agreed by Ihe undersigned that no other uses will be made of Ihe above connections except as hereinafter lisled.
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