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. . PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1314"1-
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I Lo.! No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEWD WAlE. STORMS FEES FEES .ELAY S. SEWE. WA'E. STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuDding Electric Pumps From Curb 10 BuUdlng
Repair
INSIDE WORK
NO.
NEW
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NO.
NEW
FEES
NEW
FEES
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USE.
.E'. I USE.
11O.
USED
FlES
Bath Tub
Garbage DilpoA!a
Catch Bulns
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V
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("'-
Watar Softeners
Sump Pump Ik Ejeclors
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Conductors
Wash BuiD
Dilhwuhers
Grease Catch BuÎIII
Laundramats
Wat.. CI_I
f-
V
SIIIk
Water Heaters
Sanitary Bubblers
Bar and Soda Wules
Shower Baths
UriDaIs
Floor »raIDs
Denial Cuspidors
Leundzy Tubo
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Service SiDks
Valualion of Ihe Work HereiD Described
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Fee Verified, Receipled and Recorded
Received Permit and Inspaellon F...
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In the performance of this work the undersigned owner (or his euthorired 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 Soard 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
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