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PLUMBING PERMIT - Oshkosh, Wisconsin
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Permit N'? 2
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l Addilion or Replat
Date
OUTSIDE WORK
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NEW SEW" WATER STORMS FEES FEES RE'AY S. SEWER WATER STORMS FEES
From MaID to Curb 1/1//1-rf If/~j1 it! Jj)/t Septic Tanks From Main to Curb
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From Curb to BuUcIlDg Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
U,. I USEO
NO.
NE.W. $tE'. USED FE.ES
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NO.
NEW
USED
FEES
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RES
Bath Tub
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Sanüary Bubblers
Bar and Soda Wastes
Garbage Dispooals
Catch Basins
Dishwashers
Conductors
Wuh Basin
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Wet.. CI_t
Lt
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Laundramets
Grease Catch Basins
1;2
.;z. ere>
SIDk
Water Softeners
Sump Pump Ik Ejectors
W-r Heeten
Show.. Baths
Urinals
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~:~~.:[ ~. ..;:...._....Oulside Valuation of the w~r: Herein Described Fee Verified. Receipted and Recorded Re<:ei~j.:;:'~~.:.::e:,,;,:lIon F-
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinanca" and rules and regulation, prescribed by the Board of Public Works for the government of Plumbers.
It I, futher agreed by tho undersigned that no other use, will be made of tho above connections except as hereinafter listed.
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