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PLUMBING PERMIT - Oshkosh, Wisconsin
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I / I /
Block Ward
OUTSIDE WORK
2ermi N? 1576
Street
and
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¡ Lot No.
¡AdditiOn or Replat
Due
NI'M SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
From MaiD to Curb Septic Tanks From Main to Curb
FIrom Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
REP.
NEW
lEES
REP. I USED
FEES
NO.
USED
FlES
NO.
NEW
R...I USEO
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I';
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Conducto..
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Garbage DiIpoRaJo
Catch Baslno
Batb Tub
Wub BulD
,/
Dishwashen
2'"
Gre... Catch Baslno
LaundrllllULt8
Water Cl088t
'V
f---
f1
I
SIJllo:
Water Softeners
Sump Pump" Ejectors
Wuer Heate..
Bar and Soda Wastes
/
./
,;"
Urinals
8hower Baths
Floor Dr81D8
----,
Laundry Tubs
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Feeo
-------m------------------Sewer F...
--------------------Plbg. Fees
----------------------------Total
Date
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--------Final OK
In the performanca of thi, work the undersigned owner (or his authorized agent) of said premise, and hi, authorized Plumber hereby agrae to be boundan by and
submit to all ,tatutes. city ordinances. and rules and rosulations pro,cribed by the Board of Public Works for the government of Plumbers.
It Is futher agTOed by the undersigned that no other use, will be made of the ebove connections except as hereinafter Ii,ted.
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