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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1048
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I Lot No. I Block Ward V'~ I Addition or Replat
OUTSIDE WORK
Dale
NEW SEWEI WATER STORMS fE.. FEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tank. From Main to Curb
nom Curb to Building 1--/-"&- /1Ie!- ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
REP.
USEO
fE..
NO.
NEW
REP. I USED
FEES
NO.
NEW
REP.
USED
fEES
Bath Tub
Garbage Dlapoqlo
Catch Bulm
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Wuh Buin
Dlabwuhers
Conductors
Waler Cl_t
Laundramals
Greue Calch Buins
Sink
Waler Softeners
Sump Pump II: Ejector.
Waler Healers
Sanitary Bubblers
Bar and Soda Wute.
Shower BaIhs
Urinlla
F1oor Dreins
Laundry Tubs
Dental Cuspidors
ServIce Sinks
IIUIpect1ons --m------Outside
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ValuaUon of the Work Herein Described
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Fee Verified. Receipted and Recorded
Recei~ Permit and Inspection Fees
_nm_.__m:_~--n-Sewer Fees
:__:_::::~~:::; Fee.
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Date
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 end
submit to all statutes. city ordinance.. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is luther agreed by the undersigned that no other uses will be made of the above connections exce,
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