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Name
of
Plumloer
PLUMBING PERMIT - Oshkosh, Wisconsin
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f I Lot 11'0. I Block I Ward I Addition or Replat
OUTSIDE WORK
N<: 1085
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Permit
Date
NEW SEW" WAn. STORMS FEES FEES .ELAY S. SEWER WATE. STORMS FEES
From MaID to CW'b Septic Tanks From Main to Curb
Fwom CW'b to BllUdlnll Electric Pumps From CW'b to Building
Repair / l~ðÕ
INSIDE WORK
NO.
NEW
UP.
NO.
FEES
USED
HES
NO.
NEW
.EP. I USEO
FEES
NEW
.EP. I USE.
Bath Tub
Garbage DÏlpon]s
Catch BulDs
f--
Wub BulD
DÏlhwuhen
Conductors
Water CIONt
Laundramaia
Greue Catch BulDa
Sink
Water Softeners
Sump Pump II< Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wastes
Shower Batha
Urmala
noor Dr8lu
Dental Cuspidors
Laundry Tuba
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Service 5mb
Fee Verified. Receipted and Recorded
Valuation of the Work Herein Described
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Received Permit and Inspection Feea
..."...""......"m,,5ewer Fees
..../!.9P"b...plbg. Fee.
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City T,...u,",
In the performance of this work the undersigned owner (or his authorized egent) 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 Board of Public Works for the government of Plumbers.
It Is futher agreed by the '!'}derslgned that no other uses will be made of the above connections except as hereina
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