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PLUMBING PERMIT - Oshkosh, Wisconsin
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N~ 1297 X
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Permit
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Date I Lot Ho. I Block I Ward
OUTSIDE WORK
I Addition or Replat
NEW SEW" WAY" STORMS FE" FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main to Curb
From Curb to BuUdlng Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
USID
NEW
FEES
REP. I USED
FEES
NO.
NEW
REP.
USED
FE" I NO.
REP.
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Denial Cuspido..
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Catch Basins
_Tub
Garbage Dlspoaala
Wuh Basin
Dlsbwashen
Conductor.
Greue Catch Basins
Laundramata
Wat.. Closet
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Sump Pump" Ejectors
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Sink
Water Softeners
Water Heate..
Sanitary Bubblers
Bar and Soda Wast..
Show.. Baths
Urinals
Floor Drains
Laundry Tuba
Service Sinks
Inspections
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Received Permit and Inspection Fees
----------------------------Sewer Fees
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Date .6-þ~/z/-
Fee Verified. Receipted and Recorded
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---.---.------.-----------Final OK
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In the performs nee of this work the undersigned owner (or his euthorized agent) of said premises and his authorired Plumber hereby ag;ee to/be bounden by ..,d
submit to ell statutes. city ordinances. and rules and reguletions prescribed by the Soard of Public Works for the government 01 Plumbers.
It is luther egreed by t~undersigned thet no other uses will be made 01 the ebove connections except as hereinefter listed.