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PLUMBING PERMIT - Oshkosh, Wisconsin Permll
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
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911
Did.
NEW SEWD WAUR STORMS fEES FEES RElAY S. SEWER WAUR STORMS fEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
FJom Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair ,/" /'tJO
INSIDE WORK
NO. NEW UP- USED FEES NO. NEW REP. USED fEES NO. NEW REP. USED FEES
- - -
Bùb Tub Garbage DiI~ Calch Bullis
f------ - -
Wub Basin Dilhwashers - Conduclon
- - - -
WId..- CI_I Laundram&18 Grease Cldch Basins
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SIDk Wider Softenen Sump Pump 8< Ejeclors
Weier H.Id... SlUIiIary Bubblers Bar and Soda Wasles
Show..- Bùhs Urinail
noor Drelu Denial Cuspidon !-- - f-------
---- -
Leundry Tubs Serrice Sinks
IlIIIpecllons : ~~~:~: _=:r_~ - _:: ~::_~::=-=: Fee Verified, Receipled and Recorded Received Permll and Inspecl!on Fees
----------------------------------_----Oulslde -/,--q<::I-------Sewer Fees
--------------------m-----------------------lIIIIlde -______m______Plbg. Fees
$--- ------------------------------------------------------------ .&__<ZP._------------Tolal
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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 end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the QDvernment of Plumbers.
It Is luther agreed by the.undersigned that no other uses will be mede of the above connections except as h
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