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, PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1036
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I Lot No. I BIOCk/ , I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEwn WATER STORMS FEES fEES RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
f----
FIom Curb to BuDding V ~ ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
FEES
UP.
USED
HES
NO.
NEW
REP. I USED
fEES
"O.
NEW
REP.
USED
Bath Tub
GlU'bage Dilpoaela
Catch Baslna
Wuh Basin
Dishwashers
Conductors
Watu Cl_t
Laundramab
Grease Catch Basins
f--
SIIIk
Water Softeners
Sump Pump Be Ejectors
Water Heaters
ShowuBUhR
Sanitary Bubblers
Urinals
BIU' and Soda Wastes
Floor Dralu
Dental Cuspidors
Laundry TubI
Senice Sinks
¡...pectio... Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe..
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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 ond
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 t~e undersigned that no other uses will be made of the above connections except as hereinafter listed.
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