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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N? 1084
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I Lot No, I Block .. I Ward I Addilion or Replal
OUTSIDE WORK
Date
NIW SEW" WATER S'ORMS fEES FEES RELA' S. SEWER WATER S'ORMS "'s
From MaIn 10 Curb Seplic Tank. From Main 10 Curb
From Curb to BuUclIng Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
'EES
REP. I USEO
'EES
NO.
NEW
USEO
PIES
NO.
REP.
USIO
Bath Tub
Garbage DilponIs
Catch Basins
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v
Dilhwashers
Conducto..
Wash Basin
Water CIONt
Laundramals
Grease Catch Basins
f--
Sink
Waler Softener.
Sump Pump 8< Ejecto..
Waler Heate..
Sanitary Bubble..
Bar and Soda Wasle.
Shower Baths
Urinals
Floor Dralu
Denial Cuspidors
Laundry Tubs
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Sernce Sinks
Fee Verified, Receipled and Recorded
Valualion of Ihe Work Herein Described
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Received Permll and Inspeclion Fees
............................Sewer Fees
........fr.9;1.......plbg, Fee.
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In the perlormance of this work the undersigned owner (or his authorized 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 Board of Public Works for the government of Plumbers.
It Is futher agreed by ~ undersigned that no other uses will be made of the above connections except as here,i¡¡aft~r listed.
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