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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. I Block l Ward
OUTSIDE WORK
N~ 1296 X
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Permit
Street
and
Number
v
I Addition or Replat
Data
NII'M SEWn WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn 10 Cwb Septic TRnks From Main to Curb
FJom Cwb 10 BuDding Electric Pumpe From Cwb to Building
Repair
y
'I
q
y
r
'7
INSIDE WORK
NO.
NEW
RE,.
NO.
NEW
fEES
NEW
fEES
RE'.
USED
REP. I USED
"O.
USED
fEES
~~
7/
BaIb Tub
[Z
,/
,/
7
,/
Sanitary Bubblers
Bar and Soda Wastes
~r.y
"""Y
...-- 7
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Garbage DilpooaI8
Catch Basins
Wuh Basin
Dilbwashers
Conductoro
Gre... Catch Basins
Laundramell
WatH Cloael
1-,:.-
;;J-
Sump Pump 8< Ejectoro
/
SiDk
Water Softenero
Waler Haalers
Show. Balba
Urlnail
FloĊ Dralu
./
12/
Dental Cuspldoro
Laundry Tuba
Senice Sinks
~;~~?Zz_~.:::=::=::~:~~ :;;;~..:::::.::~:.:: Fee Verified. Receipted and Recorded R~;~::I~:~~:z=:tion Fe..
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In the performance of this work the undersigned owner (or his ~~thorized agent) of said premises and his authorized Plumber hereby ag;ee to/bé' 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)S'ýJtha undersigned that no other uses will be made of the above connections except as hereinaftar listed.
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