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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9197
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I LœNo. ~ 1 Ward
OUTSIDE WORK
I Addition or Replat
Date
NIW SEwn WATn STORMS fEES 'EES RELAY S. SEWER WATER STORMS fEES
From MaID to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
110.
NEW
NO.
'EES
NEW
REP. I USED
FEES
NO.
REP.
USED
FlES
NEW
REP.
USEO
Bath Tub
Wuh BuIø
Garbage DilpoaaIs
Dilhwashen
Catch Basins
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Conductors
Water ClOl8t
Laundramail
Grease Catch Basins
SIDk
Water Softeners
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j,ðò
Sump Pump 8< Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
UriDals
n- Dr8lm
Dental Cuspidors
Laundry Tubs
~:~:_.._...._......................Outside
Service Sinks
Fee Verified, Receipted and Recorded
v,ation of the Work Herein Described
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Received Permit and Inspection Fees
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D~~~;j~ FHS
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---..---.-....-..-..----Final OK
In the psrformance 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 ordinance., and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agroed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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PlumbIng '",podot
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