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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9083
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I Lo.I No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
Naw SEW" WA1ER STORMS fEES fEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb Ie BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
fEES
UP.
USED
fiE.
NO.
NEW
"EP. I USED
fEES
"O.
NEW
"EP.
USED
Bath Tub
Garbage DiIpoAJa
Catch Bolns
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Wuh B8Iin
Water CI_I P. Ii
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Conductors
Dlshw8Ih...
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I
LaundrlUlL8.b
Gre... Catcb Boina
Sink
Water Softeners
Sump Pump" Ejectors
Water Heate..
Sanitary Bubblers
Bar and Soda Weles
Shower Bath8
/
UriDa!s
I). cv
Floor DraIDs
Leunclry Tubo
Dental Cuspidora
Service Sinko
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Valuation of the Work Herein Descrihed
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Date
Fee Verified. Receipted and Recorded
Received Permit and Inspection F...
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In the perlormsnce of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby Igree to be bounden by end
submit to III statutes. city ordinances. end rules end regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. futher agreed by the undersigned that no other uses will be mode of the above connections e
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ereinlfter listed.
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