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Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
N~ 1612 ¿
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Permit
Street
and
Number
I Addition or Replat-
Date
NEW SEW" WATER STORMS FE" FEES RELAY S. SEWER WATER STORMS FEES
From MelD to Curb Seplic Tanks From Main to Curb
From Curb 10 BuUcIlng /' V'" 4,ø Electric Pumps From Curb to BuUcIlng
Repair
INSIDE WORK
NO.
NEW
RE'.
NEW
FEES
RE.. I USED
FE"
tlO.
USID
HES
NO.
NEW
RE'.
USED
Batb Tub
Garbage Diapooalo
Catch BalDs
Wuh Bain
Diahwahen
Conductors
Water CI_t
Laundramats
Greue Catch BalDs
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SIDlE
Water Softeners
Sump Pump 8< Ejectors
Water Heaten
Sanitary Bubblers
Bar end Sode Wates
Shower Bathe
Urinals
F1oor Dralu
Dente! Cuspidors
Laundry Tub8
Sernce Sinks
Inspect1olU1 Veluation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his euthorired agent) of said premises and his authorired Plumber hereby agree to be bounden by end
submit to ell statutes. city ordinances. and rules and rogulations prescribed by the Board of Public Works for the governmant of Plumbers.
It is futher egroed by the und~slgned that no other uses will be made of the above connections except as hereinafter listed.