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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N<:' 121
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I Lot Ho. I Block I Ward
OUTSIDE WORK
I Addition or Replat
Date
NOW SIWEI WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From MaIn to Curb ILII ¡r[ / II{I^" tu.l\í) Seplic Tanks From Main 10 Curb
I ~T /
From Curb to BuDding Electric Pumps From Curb 10 Building
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Repair
INSIDE WORK
110.
NIW
REP.
NEW
fEES
fEES
"0.
REP. I USED
NEW
REP.
USED
USID
FlES
NO.
BoIh Tub
Garbage DilpoaaIa
Catcb BaslDs
Wub Basin
Dilbwashon
Conduclors
WaI8r CIOl8I
Laundr-
Gre... Catch BolDs
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Sbsk
Waler Softeners
Sump Pump" Ejeelors
Waler Healers
Sanitary Bubblers
Bar and Soda Wasles
Show.. Baths
UriDail
noor Drains
Denial Cuspidors
Laundry Tubs
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Senics Sinks
Fee Verified. Receipled and Recorded
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Recej~8 5ermil and Inspecllon F...
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_~l-'_~ð~_-_..Plbg. Foos
D:"~;Zj)hjlal
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorired 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 for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be mode of the above connections except as hereinafter listed.
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