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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
Permit N':' 1024
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I Lot Ho.
Date
L-'-ddilion or Replat
OUTSIDE WORK
NEW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MelD 10 Curb Septic Tanks From Main to Curb
From Curb 10 BuDding Electric Pumps From Curb 10 BuUding ~ /rOO
Repair
INSIDE WORK
NO. NEW UP. USlo FRES NO. NEW REP. USED FEES NO. NEW REP. USED FEES
- - - - -
Batb Tub Garbage Dllpooa1s Catch Basins
- -
Wub Buiu Dllbwashen Conducton
1- - - - -
Water Cl_t Laundramab Greua Catch Basins
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Sink Water Softenen Sump Pump 8< Ejecton
Water Heate.. Sanitary Bubblen Bar and Soda Wastes
----
Shower Batha UriDa1s
noor DraIDs Denial Cuspidon
-
Laundry Tubo Serrice Sinks
InapeclloL18 :a~~:--:::::_:::==: Fee Verified. Receipted and Recorded Received Permit and Inspec!!on Fe..
--.----------------------------------------------Ouiside u---I.-~--------Sewer F-
-----------------------------._----------------------Inaide _---_-------m__-----------Plbg. Faa.
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by and
.ubmit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
tha undersigned that no other uses will be made of the above connections except as hereinalter listed.
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