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Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin
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I LoiHo. b I Ward
OUTSIDE WORK
Permit N? 9372
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I Addilion or Replat
Date
NnY SEwn WATER STORMs fEES fEEs RElAY s. sEWER WATER STORMs fElS
From MaIn to Curb Septic Tanks From MaIn to Curb
""'m Curb to BuDding Electric Pumps From Curb to Building
Repm
INSIDE WORK
NO. NEW UP. USED fElS NO. NEW REP. USED fEEs NO. NEW REP. USED fEES
- - ~ - - ~
_Tub Garbage Dilpooah Catcb BulDs
~- ~
Wub Buin Dilbwuhen !- Conductors
- ~ - ~
Water CI088t Laundrama.ls Gre... Catch BulDs
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SIDk Water Softeners Sump Pump 8c Ejectors
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Water Heaten / Sanitary Bubblers Bar and Soda Wutes
Shower Baths Urinals
F1oor DraIDI Dental Cuspidors
Laundry Tubs Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permil and Inspection Fees
-..........-...--..........-....................OulBide $...£:5l2.......12.Q.......-..-..-..............- ............................8ewer Fees
~~::;$.~:=:~~~ ..L~..&..o.Plbg. Fee.
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$............................... ..................-..............-..-..-
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
.ubmlt to all statutes, city ordinances, and rui"s and regulations prescribad by the Soard of Public Works for th" government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the abo... conn"ctions "xcept as h"r"inafter listed.
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