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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 9074
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I Lo.I Roo v I Block ~ I Ward
OUTSIDE WORK
1- ~dditio_n or Replat
Date
NEW SEWEI WATER STORMS FEES FEES mAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
UP.
USED
flES
NO.
NEW
REP- I USED
FEES
NO.
NEW
REP. I USED
fEES
Beth Tub
Garbage DilpooaIs
Dilhwashen
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Catch BaslnJl
1-
Wuh Basin
Conductors
Water CI_t
Laundramatl
GreUB Catch Baslna
I--
SIJIk ¿¡4_~p/l
Water Heate..
Water Softeners
Sump Pump" Ejeclors
/ 1/"'"
'k
sanUary Bubblers
Bar and Soda Wasles
Shower Baths
Urinals
noœ Dr8lna
Denial Cuspidors
Laundry TubI
Service Sinks
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Valualion of the Work Herein Described
$--/.12_0_- ~__h-- m__m__m--___--mm--m_--_-
$-
0
Fee Verified. Receipled and Recorded
Received Permit and Inspecllon F...
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Date ~./¿".7b
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, 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 u..s will be made of the above connections except as herelnalter listed.
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