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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 335
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I Block I Ward
I Lot No.
I Addilion or Replal
Dale
OUTSIDE WORK
NEW SEwn WATER STORMS FEES fEES .ELAY S. SEWE' WATE' STORMS FEES
From MeIn 10 C...b Septic Tanks From Main 10 Curb
FJom C...b 10 BuDding Eleclric Pumps From C...b 10 Building
Repm
INSIDE WORK
NO.
NEW
UP.
USED
NO.
NEW
'EP. I USE.
NO.
NEW
FEES
'EP.
USE.
FEES
FlES
BaIh Tub
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Denial Cuspido..
Garbage DIs~
Calch Basins
Wuh Buin
Dlshwuhers
Conduclo"
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1/
Grease Calch Buinll
Laundramals
Waler CI_t
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SIJIk
Waler Softene..
Sump Pump" EjeclO..
/
Waler Heale..
Sanilary Bubble..
Bar and Soda Wasles
Urinals
Shower BaIhs
noor Dr"'"
Laundry TubR
Serneo Sinks
IDipecIIO~. . Valuation of Ihe w:ork Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon Fees
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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 ordinances. and rules 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 exc...t ..~feinafter listed.
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Plumbing In,pod<>'
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