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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<? 1038
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. -. Lot.Noo I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NOW SEwn WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
Fmn Curb 10 BuDding ~ .....--- 4.èD Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW I REP. I USED
fEES
NOW
RE'.
USED
fI..
NO.
FE"
NO.
NEW
RE,.
USED
Bath Tub
Garbage DiIpooa1s
Catch Basins
Wuh Basin
Dishwashers
Conductors
Wet"" Cl_t
Leundramatl
Gre... Catch Buina
f--
Sink
Water Softeners
Sump Pump .. Ejectors
Water Heate..
Shower Baths
Sanitary Bubblers
Urinals
Bar and Soda Wastes
F1oor DraIDa
Dental Culpidors
Laundry TubI
lupectiono
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-----.--------...----..--.----.....--.---.-.--.---..-..---Inlide
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SerYiee Sinks
Valuation ~ork Herein Described
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S.
0
Fee Verified. Receipted and Recorded
Received Permit and Inspection Feet
__.3"_~.-----Sewer Fees
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City T'..,",",
'In tho' performance of this work the undersigned owner (or his authorized agent) of .aid premises and his authorized Plumber hereby agraa to ba bounden by and
submit to all statutes. city ordinances. and rules and rogulations prescribed by the Board of Public Works for the government of Plumbers.
~ undersigned that no other uses will be made of the above connections except as hereinafter listed.
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