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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~. 758
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I BlOCk. .. I Ward
I Lot No.
I Addition or Replst
Date
OUTSIDE WORK
NEW SEwn WAtER STORMS FEES FEES RELAY s. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
""'m Curb to BuDding Eleclric Pump. From Curb to Building
Repair
INSIDE WORK
NO.
NEW
REP.
NO.
NEW
FEES
NO.
NEW
FEES
REP.
USED
REP. I USED
USED
FlES
Bath Tub
Garbage DispoeaJs
Catcb BaslDo
I--
Wash Basin
Dishwashers
Conductors
Water Cloeet
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Grease Catch BasIDo
Laundramattl
SIDIo:
Water Softeners
Sump Pump 8< Ejectors
Water Heate..
Sanitary Bubblers
Bar and Soda Waste.
Shower Baths
UriDais
noor Drabuo
Dental Cuspido..
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Laundry Tubs
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Service Sinks
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Valuation of the Work Herein De.cribed
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$.
0
Fee Verified. Receipled and Recorded
Received Permit and Inspection Fe..
...............mm....mSewer Fees
~.~m"2.E?...plbg. Fee.
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In the petiormince 01 Ihis work the undersigned owner (or his authorired agent) of said premises and his author Ired 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 lor the government 01 Plumbers.
II Is luther agreed by the undersigned that no other uses will ba made 01 the above connections except as he