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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<;' 962
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I Lo.t No. I Block ' 1 Ward I Addition o. Replal
OUTSIDE WORK
Dat.
NEW SEwn WATER S'ORMS fEES FEES RELAY S. SEWER WATER STORMS fEES
From Main 10 Cub Septic Tanks From Main to Curb
him Cub to Bundln" Electric Pumps From Cub to Building
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INSIDE WORK
NO. NEW "P. USED FlES NO. NEW REP. USEO fEES NO. NEW REP. USEO fEES
- - - - -
Bath Tub Garbage DispoR81a Catch BuiJIs
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Wub Bum Disbwuhen Conductors
1- - - - -
WatN CI_I Laund...mats Grease Catch Buins
I-
SIDk Watn Softeners Sump Pump 8z Ejectors
f Wate. H.at... V /' /rei) Sanitarr Bubblers Bar and Soda Wastes
ShowN Baths U.inais
n- Dreins Dental Cuspido.. I---- -t-
Laundry Tuba Service Sinks
Inspections :;æ ~~.. ::r.:..=~r~:.:~::.:: Fee Verified. Receipted and Rece.ded Received Pe.mit and Inspection Fees
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..........................--.....-..........._..-....Inside ..:Z~::::::::::::; Fee.
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-...-.---.--.......---Finsl OK $..................-..-................. ........-..............-..-'- Date / ~/3o/-7 ;7
In the performance of this work the undar.igned owner (or hi. authorized agent) of .aid premi.e. and hi. author ired Plumber hereby agree to ba bounden by and
.ubmit to all statutes. city ordinances. and rules and regulation. prescribed by the Board of Public Works for the government of Plumbers.
the undersigned that no other usos will be made of the above connections except a. hereinaftar listed.
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