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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N<2 9477
d Name /'1 Slreel d /' ~
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Plumber
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! Addilion or Replat
I Ward
~ Block
I Lot No.
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OUTSIDE WORK
NIW SEwn WAtER STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
From Main to Curb Seplic Tanks From Main to Curb
From Curb to Building Eleclric Pumps From Curb to Building
Repair
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INSIDE WORK
NEW
REP.
USED
FEES
~ REP-IUSED~INO-
,L
NO-
REP-
USED
RES
NEW
NO.
-
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Catch Bullis
Garbage Dis~
Bath Tub
Conductors
Dishwuhers
Wash BulD
Gre... Cllich BulDs
Laundramllis
Wilier CI_t
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/
Sump Pump 8< Ejectors
Wilier Softeners
SIDIo:
Bar and Soda Wules
Sanitary Bubblers
Wilier Helliers
Urinals
Shower Baths
~
V~
~
Dental Cuspidors
Floor Dr"'"
Service Sinks
Laundry Tubs
Received Permit and Inspecllon Fees
-_mmmm--mm_-----Sewer Fees
LÇl--<?9__PIbg. Fees
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Fee Verified, Receipted and Recorded
Valuallon of the Work Herein Described
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Inspections
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In the performance of thi. work Ihe undersigned owner (or hi. euthorired agent) of said preml.es and his authorired Plumber hereby ag;;;t., be bounden by and
submit to all .talules, city ordinances, and rul.. and regulations prescribed by the Soard of Public Work. for the government of Plumbe...
It Is futher agreed by the unde..igned Ihet no other uses will be made of the above connection. except as hereinafter Ii.led.
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