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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9216
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I Lot No. I Block I Ward ..1 Addition or Raplat
OUTSIDE WORK
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of
Plumber
Date
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NEW SEwn WATE. STORMS FEES 'EES .ELAY S. SOWO. WATE. STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
FNm Curb 10 BuUd1ng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
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USED
NO.
NOW
FEES
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.OP. I USED
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Sump Pump 8< Ejectors
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Catch Basins
Garbage Dilpooala
Wub BaslD
Dilbwashars
Conducto..
Wider CIONt
Laundramals
Grease Cldch Basins
Wider Softene..
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Wider Heide..
Sanitary Bubblers
Bar and Soda Wastes
Shower BaIhI
UrlDals
Dental Cuspido..
Floor DraIDa
Laundry Tubo
Service SlDb
NOW
.0'. I USED
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Inspections
Valuation of the Work HerelD Described
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Received Permit and Inspection Fees
------------------.--...8ewer Fees
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Fee Verified, Receipted and Recorded
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In the performance of thil work the undersigned owner (or his authorired agent) 01 said premises and his authorired Plumber hereby egree to be bounden by and
lubmit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be made 01 the above connections except as hereinaftor listed.
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