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PLUMBING PERMIT - Oshkosh, Wisconsin Permit
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I Lot No. I Block l Ward. I Addition or Replat
OUTSIDE WORK
9525
Date
NEW SEwn WAtER STORMS FEES FEES 'ELAY S. SEWER WAtER STORMS FEES
F...... MaIn to C\lYb Septic Tanks From Main to Curb
!\rom C\lYb to BuUdIDø Electric Pumps From C\lYb to Building
Repair
INSIDE WORK
110.
NEW
u,.
RES
NEW
.E'. I USED
FE"
NEW
FEES
'EP.
USED
"0.
USED
NO.
Bath Tub
Garbage DilpoeaJs
Dilhwuhers
Catch Bulns
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Wuh Buin
Conductors
Water Cl_t
SIDk /J~
Water Heate.. rI
Laundrama18
Grease Catch Buins
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L
Water Softeners
Sump Pump 8< Ejeclors
Sanitary Bubble..
Bar and Soda Wastes
ShowerBatha
UrinaJa
Floor DraIDs
Dental Cuspido..
Laundry Tube
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Service Sinks
Valuation of the Work Herein Described
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Fea Verified. Receipted and Recordad
Received Permit and Inspection Fees
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C;ty r....u,.,
Date
In the performs nee of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby agree to be bounden by ...d
submit to all statutes. city ordinances. and rules and regulations presc'¡bed by the Board of Public Works for the govemment of Plumbers.
It Is futher agrsed by the undersigned that no other uses will be made of tho above connections except as hereinaner listed.
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