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PLUMBING PERMIT - Oshkosh, Wisconsin ParmI! N? 1049
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l~~LNO' I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NOW SEwn WATER STORMS fEES FEES R"AY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Taaks From Main 10 Curb
FJom Curb to BuDding L/ I d1& Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RI.. USED fEES NO. NEW RE.. USE. FEES NO. NEW R". US,. FEES
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Beth Tub Garbage DÙlpoI8!o Calch Bains
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Wub Bain Dlsbwahen Conducloro
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Water Cl_t Laundramll!ll Greue Catch Bains
Slak Water Sofleners Sump Pump" Ejeclors
Wmr Heate.. Sanllary Bubblers Bar and Soda Wales
Shower Baths Urina1e
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F1oor Dre1D8 Denial Cuspidoro 1-
Laundry Tub8 Service Sinks
Inapeclio... Valuation of Ihe Work Herein Described Fee Verified. Receipled end Recorded Received Perml! and I...pection F...
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penormanca Of thi. work the undersigneD owner (or hi5 authorirad agent) of ,aid premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations pre.cribed by the Board of Public Works for the government of Plumbers.
It Is futher eg);8ed by the undersigned that no other uses will be made of the above connection, except as hereinafter listed.