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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 1~
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1- Lot No. I Block I Ward I-Addition or Replat
OUTSIDE WORK
Date
NEW SEWEI WATE. ,rORM' FEE' FEES .E'AY ,. 'EWE. WATE. STORM' FEE'
From MaIn to ClU'b Septic Tanks From Main to Curb
FIom ClU'b 10 Building Eleclric Pump¡ From Curb to Building
Repair
INSIDE WORK
NO. NEW RE'. USEO FIE' NO. NEW .E'. U'EO FEE' 110. NEW .E'. USEO FEES
Beth Tub ( tu-r.> Garbage DIa-- I ).tJ-<' Catch Basills
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Wub Basin I j. trU Dishwashers Conduclo"
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Wùez Cloeel f 1- 0-0 Laundramab Gr.... Catch Bashu
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SIDk Water Softene.. Sump Pump Be Eieelo" I /tJv
Waler Heùe.. / ¡uti Sanitary Bubble.. Bar and Soda Wul..
Showez BaIha UriDl1a
no- Dlehu / rl! Denial Cuspido"
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"""dry Tube Service Sinb
Iupadlou Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received PermU and Inspecllon Fe..
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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