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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
Permit N? 9657
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l Lo.t No.
I ~ddition or Replat
Date
OUTSIDE WORK
NOW SEW" WAUR STORMS ".. fEES RELAY S- SEWER WAUR 510RMS fEES
From MaIn to Curb / it ts.¡ ¡.DU Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
NO.
"..
NEW
REP.
UsED
REP. I USED
fEES
USED
"ES
Batb Tub
Garbage Diapooa!a
Diabwashen
Catch Basins
Wuh BasiD
I~-
Conducto..
Water CI_t
Laundramals
Grease Catch BaslDa
f--
SIDk
Water Soften...
Sump Pump" Ejecto..
Water Heate..
sanUary Bubble..
Bar and Soda Wastas
Shower Baths
Urinals
Floor Dr8Ùla
Laundry Tubo
Dental Cuspido..
Service Sinks
IDSpectiODS .......Outside
~=::::=:=::::===::=:::~-~=:::::::::: ~ -- - --Inside
Valuation of the Work Herein Described
$ - - - - - - X. Þ - ~.. - - L!.f!- - - - -.... - - - _h_h...- - - --.-
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
".."..........--........Sawer Fees
_.!!...~~.....PIbg. Fees
.../.!.t!...rL___Total
Date II-$' - 7 G
.
......
---h..----Final OK
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In th performance of this work the undersigned owner (or his euthorized agont) 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 01 Plumbers.
It Is luther agroed by the undersigned that no other uses will be made of the above connections except as hereinaltor listed.
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