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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
OUTSIDE WORK
Permil N~ 386
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I Lot No.
¡ Addüion or Replat
NIW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaiD to Curb Septic Tanks From Main 10 Curb
FJom Curb 10 BlÙldlng Electric Pumps From Curb 10 BuUding
Repair
7/7..# .7::: LÆL
INSIDE WORK
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NO. NEW "P. USID HES NO. NEW REP. USED FEES NO. NEW REP. USED FEES
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Ba!b Tub Garbage Dlapcealo Ca!cb Basins
Wuh Basin Dishwashers Conducloro
- - ~ - ~
Water Cl_t Laundrama.ts Gre... Catch Basins
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81Dk Water Softenero Sump Pump" Ejecloro
Water Heaten Saniluy Bubblero Bar and Soda Wasles
Shower Baths UriDals
Floor Drailla Denial Cuspidon
1- ~
Laundry TubI Seni.. Sinks
I""pactiona :/~o~ - ::~: _::r::.::~:_:: Fee Verüied. Receipled and Recorded Received Permit and Inspection F...
------..------.-----..-..-.-----.......-.---___--Oulside --------------..-----...--Sewer Fees
.---.---.-.-------------......--------.---.----__----lDIIide _---_/L<2P---_._Plbg. Fees
---....------..---.-....-------------....----------.....- $-------------------------------------------------------------_.. ---Ù-oQ-_m-Tolal
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-----.--..........-------..........Fina1 OK $-.------.-----------------------.----------------------------- Dale r;.~¿)h7
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree t¿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.
I! Is futher agreed by th,e'^undarslgned that no other uses will be made of the above connections except as hereinafter listed.
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