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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1303 'f-
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1~IOCk I Ward
Dale
l LDI No.
I Additiono~ Replal
OUTSIDE WORK
NOW SEWEI WAUR STORMS FEES FEES RELAY S. SEWER WATn STORMS fEES
From Main 10 Curb Seplic Tanks From Main 10 Curb
~ CUl'b 10 BuDding ./ /' ~ Eleclric Pumps From Curb 10 Building
. Repm
INSIDE WORK
NO.
REP.
FEES
USED
FlES I NO.
NEW
NEW
REP, I USED
NO,
FEES
NEW
REP.
USED
BaIh Tub
Guballe Diapooa1s
Caleb Basins
I-----
Wuh Bain
Diabwahers
ConduclDr.
Walu CI_I
Laundnmals
G~e... Calch Bains
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SIDk
Wale~ Softenors
Sump Pump 8< Ejeclors
WaIa~ Healers
Sanitary Bubblers
Bu and Soda Wales
ShowuBaiba
Urinals
Floor Do8lm
Denial Cu.pidors
Laundzy Tubs
Seni"" Sinks
. .............. -.... .---... .................Oul8ide valuau:;, ~/ork Herein Described Fee Verified. Recelpled and Recorded R~~i:~,~;:;'.II.:"::e;n;,:"on Fees
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'....IL- I City T,..."e,
.. . .-.---FiDaI OK $....................-.......................-..-..............-... Dale
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumb.r her.by allr . to b. bound.n by and
submit to all statutes, city ordinanc.s, and rules and regulations prescribed by the Board of Public Works for the governm.nt of Plumb.rs,
he undersigned that no other uses will be made of the above connections except as here'
Inspecllons
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