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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1242 'X
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I Addition or Replat
I Lot No.
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Dllia
OUTSIDE WORK
Naw SEWEll WATER STORMS FEES "'S RELAY S. SEWER WATER srORMS ...s
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuUdlnll '/ ../ <J-. 00 Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
..,.
USID
NO.
NEW
REP. I USE.
FEES
NEW
REP. 1 USE.
FEES
NO.
FlES
B8ib Tub
Garbage Dioposals
Catch Basins
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Wash BasiD
Diobwasben
Conductors
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Wat.. CI_t
Laundramats
Grease Catcb Basins
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Sink
Water Softeners
Sump Pump 8< Ejectors
Water Halliers
Sanliary Bubblers
UriDaIa
Bar and Soda Wastes
Sbow.. Baths
1-
Floor Drains
Dental Cuspidors
Laundry Tubo
Senice Sinks
IDSpactloDS Valuation of tbe Work Herein Described Fee VerUled. Receipted and Recorded Received Perml! and Inspection Fees
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I'ln the"perfOrmance of thi. work the undersigned owner (or his euthori.ed agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit t. all .tatutes, city ordinances, and rules and regulation. prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned that no other uses will be made of the above connections except as herelnalter listed.
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