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PLUMBING PERMIT - Oshkosh, Wisconsin Parmil N<? 16191
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I Lot No. .1 Block I ward__J Addition or Replat
OUTSIDE WORK
Data
NEW SEW" WAtER STORMS FEES FEES .EIAY S. SEWER WAtER STORMS FEES
From MaIn to Curb Septic Tanks From Main 10 Curb
Fmn Curb 10 BuUding Electric Pumps From Curb 10 Building
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INSIDE WORK
110. NEW RE.. USED "ES NO. NEW RE.. USE. FEES PlO. NEW RE.. USE. "ES
Bath Tub Garbage DÏlpooaIo Catch Buloo
Wuh Buin Dlshwuhen I~ Conduclors
~ - ~ -
Water CI_t Laundr- Graue Catch Bu"'" -
Sink Water Softaners Sump Pump Ie Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wastes ~
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Shower Baths Urinels I--
Floor Dr8IDI Denial Cuspidors ~ [~
Laundry Tu1>s Service Sinks
InspscliolUl :æ.ã~:r.:.:::::.::::.:: Fee Verified. Receipted end Recorded Recei7- Permit and Inspection Fees
-.-....-.-...-..-........-............-........Outside .........L~......Sawer Fees
..........................-.......-...........-.._....wide "1~..~........PIbg. F..s
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submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
,a undersigned that no other uses will be made of the above connections except as hereinefter listed.
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