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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 419
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I Lot No. I Block I Ward I Addüion or Replat /
Date
OUTSIDE WORK
NEW SEWD WA1ER STORMS FEES FEES RE.AY S. SEWER WArER STORMS FEES
From MelD 10 Curb Septic Tanks From Main to Curb
FJom Curb 10 BuDding Eleclric Pumps From Curb 10 BuUding
Repair
INSIDE WORK
NO.
NEW
RE..
NEW
NO.
FEES
RE.. I USED
fEES
NEW
RE..
USED
USID
FEES
NO.
BaIb Tub
Garbage DIa~
Catch BolDs
Wuh BolD
Dlabwohen
Conductor.
f-------I-
Water Cl_t
Laundramab
Greue Catch BolDs
I-----
l
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Water Softene..
Sump Pump" Ejecto..
V,ell:>
SIDk
Water Heate..
sanUary Bubble..
Bar and Soda Wastes
Shower Balbi
Urinals
Floor DrelDa
Dental Cuspido..
Laundry Tubo
~:~:-----------------------------____Oullide
Service SlDks
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$
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City r,..",..
Fee Verified, Receipted and Recorded
Received Permit and Inspecllon Fees
--- ------ ------Sawer Fees
---./.,_ø...---------_Plbg, F...
.---(~-4t)-_._.__.__Total
Dale tPk.O/77
-------------------------------------------------------.Inside
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----E1Da1 OK
In the performance 01 this work tho undersigned owner (or his authorired agent) of said premises and his authorized Plumber hareby agréa to lÍa boUnden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the goyernment 01 Plumbers.
It Is luther agreed by ~ undersigned that no othar uses will be mode of the aboye connections except as hereinafter listed.
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