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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Ng . 94
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~o~-- - I Block I Ward I Addition or Replat
OUTSIDE WORK
Data
NEW SEWn WATER STORMS 'EES FEES RELAY S. SEWER WATER STORMS FEES
From MeIn to Curb Septic Tanks From Main to Curb
FIom Curb to Building Eleclric Pumps From Curb to Building ,
Repair --;7
INSIDE WORK
NO.
..,.
NEW
USED
FEES
NO.
NEW
REP. I USED
FEES
NO.
NEW
REP. I USED
FEES
Bath Tub
Garbage Diapooalo
Catch Bas1n8
Wuh Buin
Diabwuhen
Conductors
Water CI_t
Laundrama.IR
Graue Cateb Bulll8
I--
SIDk
Water Softeners
Sump Pump II: Ejectors
Water Heate..
Sanitary Bubblers
Bar and Soda Wules
8howerBatba
Urinals
Floor DrÙ118
Laundry Tullo
Dental Cuspidors
Senice Sinks
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Received Permit and Inspecllon F....
------/.~i?:_2--___-_Sewer F...
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IDspeclions ---------------Outslde
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Fee Verified. Receipted and Recorded
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City T,..",.,
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In the performonce of this work tho undersigned owner (or his outhorired agent) of soid premises end his authorized Plumber hereby agree 10 be bounden by ...d
submit to oil statutes. city ordlnonces. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futhor ogreed by the undersigned thot no other uses will be mede of the obove connectlo
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