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Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 321
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I Loi No. I Block I Ward
OUTSIDE WORK
I AddUion or Replat
Date
NEW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
FNm Main to Curb Seplic Tanks From Main to Curb
FNm Curb to Building Electric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO. NEW UP. USID FlES NO. NEW "P. USED FEES "O. NEW REP. USED FEES
- - - -
_Tub 1- Garbage Dlspol8!s 1- Catcb Bulns
-
Wuh Bulls Dlsbwuhers ConductOrl
1- - - - -
Water CION! Laundramats Gre... Catch BulDa
I-
SIDk Water Softener. Sump Pump 8< Ejectorl
Water Heate.. 7 /P S8ftÜary Bubblers Bar and Soda Waste.
Shower Batho Urinale
Floor Dratnl Dental Cu.pidors
-
Laundry TubI Serrice Sinks
Inspections Valualion o;(;e Work Herells De.cribed Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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..........................................................Inside L...."'.....q....PIbg. Fee.
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In the performance of thi. work the unde..igned owner (or hi. authorired agent) of said premi.e. and his authori.ed Plumber hereby agree to be bounden by and
submit to all .tatutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbe...
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereindter listed.
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