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PLUMBING ERMIT - Oshkosh, Wisconsin Perml! N? 1362 /.
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I Lot No. I Block I Ward I Addilion or Replat
Dale
OUTSIDE WORK
NIW SEWEI WAtER STORMS FEES FEES RELAY S. SEWER WAtER STORMS FEES
From Main 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 Bulldlng "/ /' q,otJ Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
REP. I USEO
NO.
NEW
FEES
REP.
USED
FEES
USED
FlES
BaIb Tub
Garbage Dia~
Catch Baslrla
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Wuh Basin
Dishwasbers
Conduclon
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WaIDr CI_I
Laundrama.18
Greue Caleb Baslrla
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SIDk
Water Softenen
Sump Pump II< Ejeclon
Water Heaten
sanUary Bubblen
Bar and Soda Wasles
ShowerBaIhs
Urinals
Floor Drains
Denial Cuspidon
Laundry Tullo
Service Sinks
Inspections Valualion of Ibe Work Herein Described Fee Verified. Receipled and Recorded Received Perml! and Inspecl!on Fees
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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 agre~ to bl 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 th!. undersigned that no other uses will be made of the above connections except as hereinafter listed.
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