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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1201 'i'
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\ Lot Ho. \ Block \ Ward I Addition or Re.,lat
OUTSIDE WORK
Date
NEW SEwn WAIER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 Bulldioll Electric Pumps From Curb 10 BuUdIog
Repair
INSIDE WORK
,
NO. NEW RE'. USEO FlES NO. NEW RE'. USEO FEES NO. NEW REP. USEO FEES
- - -
Bath Tub Garbage DilpoqII Catch Basins
Wub Basin DUbwashen Conductors
1- - - - -
Watar CI_I Laundramals Gre... Catch Basins
-
SIIIk Water Softeners Sump Pump I< Ejectors
I Watar Heaten VV I;ðl! Sanitary Bubblers Bar and Soda Wastes
ShowerBaIhI Urinals
noor DrÚIII Denial Cuspidors
-
LeWldry Tubs Service Sinks
Inspeclions d~~£:-_::r_~::~::_:::=-=: Fee Verified, Receipled and Recorded Received Permit and Inspecllon F-
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In the performance of this work the undersigned ownar (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 made of the above connections except as hereinafter listed.
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