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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'.? 9637
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I Lot No. I~ I Ward I Addition or Replat
OUTSIDE WORK
Name
of
Plumber
Date
NEW SEwn WA1D S10RMS FEES "'S .E'AY s. SEWE. WAtER StORMS ...s
f7~ FI(lò? f;òJ From Main 10 Curb
From Main 10 Curb . a cS Septic Tanks
J
FJom Curb 10 BuUdlng Electric Pumps F.om Curb 10 Building
~
Repair
INSIDE WORK
NO.
NEW
NO.
NO.
NEW
REP. I USED
...S
REP.
USED
"ES
Batb Tub
Garbage Diopoeail
Diohwash...
Catch Basins
I------
Wuh Basin
Conduclo..
Wilier Cloeel
Laundramats
G.ease Cilich Basina
Sump Pump" Eieclo..
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Sink
Water Softene..
Wille. Heille..
Sanitary Bubble..
Bar and Soda Wasles
Shower Batha
Urinals
Floor 1>ralu
Denial Cuspido..
Laundry Tube
Serrice Sinks
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:¡fualion of Ihe Work Herein Described
$.....3.9.9.:..!l?---....---...-.---..---...----......-
Fee Verified. Receipled and Recorded
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City ,...","
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NEW
'EP. I USED
...s
Recei.edP!rmlt and Inspection Fees
.---.~.e<:'>.---.---Sewer Fees
.---/:_q.~----_.PIbg. Fees
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In the performance of this work the undersigned ownar (or his authorized agent) of said premises and his authorind Plumber hereby agre. to be boundan by and
submit to all statutes. city ordinancas. 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 uses will be made of the above connections except as hereinalter listed.
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