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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ ~12
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I Lot No. .- I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEW" WATER STORMS FEES FEES RELAY S- SEW'R WATER STORMS FEES
From Main to Curb Septic Tanks From Main to Curb
FMm Curb 10 BuUcllng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RE'- USED FlES NO. NEW RE,- USED FEES "O- NEW REP. USED FEES
- ~ - -
Bath Tub Garbage Disposals Catch Bolns
- -
Wuh Boin Dishwohen ~ Conduclors
- - - -
Water CI_t Laundramats Gre... Catch BolDs
I-
SIDk Water Softeners Sump Pump 81: Ejectors
Water Heate.. Sanitary Bubblers Bar and Soda Wastes
Shower Baths UriDaIe
Floor Dra1na Dental Cuspidors f--
- -
Laundry Tubs Serric:e Sinks
Inspsct!ons Valuation of ~ork Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection F...
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In the performanca of this work the undorsigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agroe to be bounden by 8IId
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 made of the above connections except as hereinafter listed.
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