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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 493
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¡BlOCk I Ward
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I. Addilion or Replat
I Lot No.
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OUTSIDE WORK
NEW SEwn WATn STORMS fEES fEES RElAY S. SEWER WATER STORMS FEES
From MelD 10 Curb Seplic Tanks From Main 10 Curb
FJom Curb 10 Building Electric Pumps From Curb 10 Building
Repair v"'/ I, U"<J
INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED FEES
- - - - -
Bath Tub Garbage Dlapooals Caleb BuiDs
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Wub Buin Dishwuhen Conduclors
1- - - - -
Wuer Cl_t LaundrllDUl.lo Greue Cuch BuiDs
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Sink: Wuer Softeners Sump Pump" Ejectors
Wuar Hauan Sanitary Bubblers Bar and Soda Wul..
Shower BUha Urinala
1-
Floor DraiDs Denial Cuspidors 1.-
Laundry Tuba Serrice Sinks
Inspac1lons ::;~~~~..::~::.:::::~ Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
-.-...--....---..................-...........Oulside /:..ç(1Z... ........Sewer Fees
..........-..............--.....-...........-..-....Inside ............................Plhg. Faas
$...........................................-.............................- ..I.<..£12...........Tolal
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In the perlormance of this work the undersigned ownar (or his authorized agent) of said premises and his authorized Plumber hereby agree t~ bounden by ...d
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
e undersigned that no other uses will be made of the above connections exc,pt as hereinafter
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