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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 655
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I Lot No. I Block I Ward
OUTSIDE WORK
I Aciciilion -"rRepla
Dale
NEW SEwn WATER STORMS 'EES FEES RElAY S- SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
fWlD Curb to sundin" Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
FEES
REP.
USED
FI..
NO.
NEW
REP. I USED
FE"
NO.
NEW
REP.
USED
lJ.- Bath Tub
:.rr Wuh BuiD
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Garbage Dlllposals
Catch BulDs
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Dlshwuhen
Conduclors
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Laundramaltl
Water CI_t
Gre... Calch BulDs
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Sump Pump" Ejectors
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Waler Softeners
Sink
Sanitary Bubblers
Waler Heale..
Bar and Soda Wasles
Urina!II
Shower Baths
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noor Dralna
Denial Cuspidors
Laundry Tube
Service Sinks
Inapections Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection FeN
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In the performance of this work the undarsigned owner (or his authorized agent) of said premises and his authorized 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 govarnment of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the above connections ex~)~einaf er listed.
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Plumbo,