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PLUMBING PERMIT - Oshkosh, Wisconsin
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I :œ No. I~ ~ I Ward
OUTSIDE WORK
~ddilio_n _or Replat
Data
NIW SEwn WATE' STORMS "ES fEES ..,AY S. SEWE. WATE' STORMS "ES
From MaIn to Curb Seplic Tanks From Main 10 Curb
FNm Curb to BuDding Electric Pumpe From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
REP.
USID
flES
NO.
NEW
'EP. I USED
fEES
NO.
NEW
'EP. I USED
fEES
Batb Tub
I
~
-2.
L
J
Bar and Soda Wasles
Þ
F
/ ¡-<J
I
Garbage Dillpooa!s
/""v
Catch Basins
Wub Basin
Dillhwashen
Conduclon
~~
i
Water Cl_t
Laundramala
Gra... Catch Basins
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Sink
Water Softenan
Sump Pump" Ejeclors
Water Haaters
Sanilary Bubb1en
Show. Bathe
Urinala
Floor Drains
/
Denial Cuspidors
/.H:I
Laundry Tubs
Service Sinks
Inspecl1ons
Valuation of Ihe Work Herein Described
$.__I.£'.pÇ!_:_---~---------------_._------------_..-
.
Received Permit and Inspection F-
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b.ó<J 7 Þ
Fee Verified, Receipled and Recorded
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Dale
In the performence 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 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 listed.
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