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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 95
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I Lot Jl'o. ~ I Ward ------- _I Addition or Replat
OUTSIDE WORK
Date
NEW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
F- MaIn to Curb Seplic Tenks From Main 10 Curb
~ Curb to BuDding I-~' j//('-ÓJ" )I~(}Ò Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110. NEW UP. USED FlES NO. NEW REP. USEO FEES NO. NEW REP. USED FEES
-
Bath Tub Garbage DlspolBls Catch BulDs
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Wub Buin Dishwuhers Conduclors
- - - - -
Water CIONt Laundnmats Gre... Catch BulDs
-
Sink Water Softeners Sump Pump II< Ejeclors
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Shower Baths Urinale
noor DraIDa Dental Cuspidors
Laundry TubR Service Sinks
Inspections Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspeclion Fees
--.-------........----.-------.-----..--....._Outside 1t-2.J..--:"~.:_-_t!.Q.-----------_..__.._..._..---_..- -----J_dÒ_---_Sewer Fees
.-.......----------.........-..---.....---------.-.-Inside :~~::::::; Fees
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In the performence of this work the undersigned owner (or his euthorired agent) of said premise. end hi. euthorired Plumber hereby egree to be bounden by ...d
submit to ell ste.tute., city ordinence., end rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
It Is fulher egreed by the undersigned thet no other uses will be made of the ebove connections except as hereinefter listed.
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