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PLUMBING PERMIT - Oshkosh, Wisconsin
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Dale 9 - /1- (})( I Lot No. I Block I Ward
OUTSIDE WORK
Street
and
n- Number
N~ 1597 P
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Permit
I Addition or Replat
NEW SlWEt WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FE..
From MaiD to Curb Septic Tanks From Main to Curb
Fmn Curb to Building L/ II JìI Electric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO.
NEW
UP.
USED
FEES
NO.
NEW
REP. I USI.
FE"
NO.
NEW
REP.
USI.
FE"
BathTub
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Garbage DÙlpooak
Catch Bastes
Wuh Basin
DÙlhwashers
Conductors
Waler CIONt
Laundramalll
Grease Caleb Basins
Sink
Water Softeners
Sump Pump 8< Ejectors
Waler Healers
Sanilary Bubblers
Bar and Soda Wastes
Shower Balbs
Urinals
Floor DraIDs
Laundry Tubo
Dental Cuspidors
Serrice Sinks
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C;ty T....u,er
Receiyed Permit and Inspection Fe..
---_<2"n~-------_Sewer Fees
:::_~:~::::::::::::; Fees
Dale
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Valuation of the Work Herein Described
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Fee Verified. Receipted and Recorded
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--F1Dal OK
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Piumber hereby agree to be bounden by and
submit to aU statutes, city ordinances, and ruies and reguiations prescribed by the Boud of Public Works for the government of Plumbers.
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