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PLUMBING PERMIT - Oshkosh, Wisconsin
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N<! 9860
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Permit
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Date / Lot No. Block Ward
OUTSIDE WORK
l AddUion or Replat
NEW SEwn WATER STORMS 'EES 'EES RELAY S- SEWER WATER STORMS FEES
From MaIn to C\U'b Septic Tanks From Main to Curb
~ C\U'b to BuUcllng Eleclric Pumps From C\U'b to Building
Repair
INSIDE WORK
NO. NEW UP. USED flES NO. NEW REP. USED 'EES "0. "EW REP. USED fEES
- ~ - - ~
Bath Tub Garbage Diopooala - Catch B",,1m
- ~
Wub B""in Dlshw...hen Conducto..
- - - -
Water Clooet Laundramab Gre.... Catch B...1m
-
Sink Water Softene.. Sump Pump Be Ejeclors
Water Heaten 7 Saniiary Bubble.. Bar and Soda W...tes
Sho...... Baths Urinals
noor Dralu Dental Cuspido.. I~ I
Leundry Tubs Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipled and Recorded Received PermU and Inspection Fees
------------_._-------------------------_---Ouùide $-- -----m--m-------Sewer Fees
---------- --_00______-------------------------- -----b--f2-f2m mPlbg. Fees
------------------------------------------__----Inside
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----------------------Final OK Date /--;-/3,'/7('
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree tobe bounden by and
submit 10 all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II Is futher agreed by the undersigned that no other uses will be made of the above connections except as herelnalter listed.
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