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PLUMBING PERMIT - Oshkosh, Wisconsin Perml! N? 9811
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I Lot No. I Block l Ward
OUTSIDE WORK
I Addition or Replat
Dalo
NOW SEWn WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn to CW'b Septic Tanks From Main 10 Curb
From CW'b 10 Bulldlng if ilr-t 11~/i')¡; ~ Eleclric Pump. From CW'b 10 Building
/ Repair
INSIDE WORK
110.
NEW
IEP.
NO.
REP. I USEO
FEES
FEES
1<0.
NEW
REP.
USED
USED
RES
NEW
BaIb Tub
Garbag. Dlopooa1s
Dlohwashen
Ca!ch Baslns
f-----
Wuh Basin
Conduclo..
WIIior CI_t
Laundramala
Gre... Caleh Basins
I--
Sink
Waler Soften...
Sump Pump 8< Ejeclo..
Waler Hoale..
Sanitary Bubbler.
Bar and Soda Wasles
Shower Balba
Urinals
noor Dr"'"
Denial Cuspido..
Laundry Tuba
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Service Sinks
Fee Verified. Recelpled and Recorded
Valuation of Ihe Work Herein Described
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Received Perml! and Inspection Fe..
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._j¿...<2Ö.......Plhg, Fees
J¡..,,;J.~àÙ....Tolal
Daie J.) ;1.1- 7 h
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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 ell 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 as hereinafter litted.
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