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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N~ 9114
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[ Lol No.
r: I Ward
[ Addilion or Replal
Dale
OUTSIDE WORK
NEW sown WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS fEES
From MoIn 10 C\U'b Septic Tanks From Main 10 Curb
~m C\U'b to Building Electric Pumps From C\U'b 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
NO.
fEES
REP. I USED
FEES
NEW
REP.
USED
FEES
NO.
USED
BathTub
f-
1-
--L
/
Saniluy Bubblers
Bar and Soda Waales
Garbage DiIpoIaJo
Catch Bulns
Wuh Buin
DÙlbwubars
Conduclors
/
Greue Calch Bulns
Laundramais
Waler CI_t
f---
SIDk
Waler Softenars
Sump Pump it Ejectors
/
Waior Heaters
Showar Bathe
Urinals
Floor DraIDI
7
Denial Cuspidors
Laundry Tubs
Service Sinks
Inspections
Valuation of Ihe Work Herein Described
Fee Verified. Receipled and Recorded
Received Permll and Inspecllon Fees
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In the porformance of this work the undersigned owne. (or his authorizad agont) of said premises and his authorized Plumber hereby agr e to be b
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is Iuther agreed by the undersigned that no other usos will be made 01 the above connections .-Ircept as her.i6fter listed.
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PlumbIng In..-.'
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