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PLUMBING PERMIT - Oshkosh, Wisconsin Perml! N<? 1646 j
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I LDI No. I Block I Ward
OUTSIDE WORK
I Addl!ion or Replat
Dale
NEW SEwn WATER STORMS FEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn 10 C...b Seplic Tanks From Main 10 Curb
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From C...b 10 BuDding Eleclric Pumps From C...b 10 Building
Pro,..., ¡rl~.-v4p/Q Repair
IN iVf2L-e
~ (fIb ferry -,/ 3,OÒ
/! ,//¿S
INSIDE WORK
NO.
NEW
IE,- I USED
NEW
NO.
FEES
RE'. I USED
FEES
NEW
REP.
USED
flES
NO.
BaIh Tub
Garbage Dis~
Caleb Basins
Wuh Basin
Dishwashen
Conduclo..
I~-
Waler Cloeet
Laundramals
Grease Calch Basins
r-
81D1o:
Waler Sofleners
Sump Pump I< Ejeclors
Waler Heale..
Sanllary Bubble..
Urinals
Bar an~ Soda Wasles
Shower Baths
Floor DraIDI
Laundry Tube
Denial Cuspido..
Service Sinks
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Valuallon of Ihe Work Herein Described
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Fee Verified. Receipled and Recorded
Received Perml! and Inspaellon Fees
_3--<!?_<?--------Sewer Fees
---------------------------.PIbg. Fees
.$-- ",,-0
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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 agree to be boundan 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 undersigned that no other uses will be mede of the above connections except as herelnalter listed.
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