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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 1372 X
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I Lot No. I Block I Ward I Addiiion or Replat
OUTSIDE WORK
Date
NOW SEwn WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuUdlng ,/ V ~oV Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
REP.
NO.
NEW
REP. I USED
NO.
NEW
fEES
REP. I USED
fEES
USED
HES
Bath Tub
Garbage Diapooals
Caich Bulns
Wub Buin
Diahwuhen
Conduclors
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Water CI_I
Laundramaltl
Gre... Catch Bulna
I-
Sink
Water Softeners
Sump Pump 8< Ejectors
Waler Heaters
Saniiary Bubblers
Bar and Soda Wules
Shower Baths
Urilla1s
I-~-
n...... Drains
Denial Cuspidors
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Laundry Tubo
Service Sinks
~:=-::_....n---._...._nn_.._.nOuldde ::?S;~:~~n::~::.::~:.=: Fee Verified. Receipled end Recorded R~eif.ji.il.:::e:n;:'lion Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and hi. authorired Plumber hereby aúree to be bounden by and
submit to all statute., city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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