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/. i PLUMBING PERMIT - Oshkosh, Wisconsin
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Date I Lot No. I Block I Ward I Addition or Replst
OUTSIDE WORK
ParmI! ~~ 773
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NOW SEW" WATER STORMS lEES FE" RELAY S. SEWER WATER STORMS FEES
F...... MaIn to Cub Septic Tanks From Main to Curb
!'>om Cub to BuUdlng "-/"(1./ / Ie ~ Electric Pumps F.om Cub to Building
Repair
INSIDE WORK
NO.
NOW
USED
NEW
NO.
NEW
REP.
USED
'EES
REP. I USED
FEES
FlES
NO.
UP.
Ba!b Tub
Gubage Disponls
Catch BasiDs
Wuh Basin
Dishwashers
Conductors
Wat.. CI_t
Laund...ma18
Grease Catch BasiDs
f--
Sink
Water Softeners
Sump Pump Ik Ejectors
Wa!a. Heaten
Sanilary Bubblers
Bu and Soda Wastes
Show.. Batlu
Urinals
noœ Doa1D8
Dental Cuspidon
Launcloy Tuba
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Service Sinks
Valuation of the Work Herein Described
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Fee VerUied, Receipted and Recorded
Received Perml! and Inspection Fees
........,J..:.~....Sewer Fees
.........../...':':"....Plbg, Fee.
.............j!..~..Totai
/ZJ. //-77
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City Tm'u,.,
Date
In the performance of this work the undersigned owner (or his authorized agant) of said promises and his authorized Plumber hereby agraa to be boundan by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers,
I! 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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