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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 75
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I Lot No. I Block I Ward
OUTSIDE WORK
I Addition or Replat
Date
NEW SEwn WATER STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
From MaID 10 Curb Seplic Tanks From Main 10 Curb
FJom Cub to BuDding Electric Pumps From Curb 10 BuUdhtg
Repair
INSIDE WORK
110- NEW UP- USED FlES NO- NEW REP- USED FEES NO. NEW REP. USED FEES
- - -
Bath Tub Garbage DiIponJa Calch BaslDo
Wash Basin Diohwashan Conducto..
1- - -
WaiN CION! LauDdrBIDIW Greue Catch Basins
BIDk Water Softene.. Sump Pump Be Ejecto..
Water Heale.. / Il;~ Sanitary Bubblers Bar and Soda Wasles
ShowN Balbi Urinals
Floor DraIDs Denial Cuspidors -
- -
Laundry Tub< Service Sinks
Inspactions ::1 :¡¡ÿ;L: :";5r_: -- =:~::_::::_:: Fee Verified. Receipled and Recorded Received Permit and Inspecllon F-
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In Ihe performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agraa to be bounden by and
submit to all statutes, city ordinances, and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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Plumbing In"*",,
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