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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 9320
Name L.i Street . /
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LI!!OCk .1 Ward
I Addition or Replat
I Lot No.
Date
OUTSIDE WORK
NEW SEwn WAtER S'ORMS FEES FEES RELAY S. SEWER WAtER STORMS FEES
From MaIn to Curb 9' /.let: //~ó,D ~ðO Septic Tanks From Main to Curb
,/
From Curb to Buildtog Electric Pumps From Curb to BuUdtog
Repair
INSIDE WORK
NO.
NEW
"P.
USED
fRES
NO.
NEW
RIP. I USED
FEES
"0.
NEW
REP. I USED
FEES
Bath Tub
G81'bage DiIponb
Catch Basins
+--
Wuh Basm
Dishwashen
I~-'-
Conductors
Wa.. CI_t
Laundtamalo
Greue Catch Basins
I---
Sink
Water Softeners
Sump Pump Be Ejectors
Weier Heate..
Shew.. Batba
Sanitary Bubblers
Urinals
B81' and Soda Wastes
Floor »raiDs
Dental Cuspidors
Laundry Tubs
Service 5mb
~:~:_n_.---_...._n..------.Oulside :~lj:~.ð.:~r~.::~::.:::=.:: Fee Verified. Receipted and Recorded R~j;~.r=~.S:'::e:n;:lIon F-
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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 end
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 uses will be made of the above connections except ~,.e.lnafter:..listed.
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