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PLUMBING PERMIT - Oshkosh, Wisconsin
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? I Lot No. I Block I Ward
OUTSIDE WORK
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Plumber
Permil N? 243
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I Addition or Replot
NEW SEW" WATEr STORMS FEES FEES .ElAY S. SEWE' WATE. STORMS FEES
From Main 10 Curb Seplic Tanks From Main 10 Curb
nom Curb 10 BuDding Electric Pumps From Curb 10 Building
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INSIDE WORK
110.
NEW
RE'.
NO.
NEW
'EP. I USED
FEES
NO.
NEW
'EP.
FEES
USED
USED
FlES
BathTub
G81'bage Dispooals
Disbwuhers
Calch Buins
Wub Buln
Conductors
Wilier CI088t
Laundramllis
Gre... Cllicb BuiDR
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Sink
Wilier Softene..
Sump Pump lit Ejeclo..
Watar Hellien
Sanitary Bubblen
B81' and Soda Wules
Shower Baths
Urinals
noor Dra1D8
Denial Cuspidon
Laundry TubR
Serrice Sinks
InspecIioM valuotio?Jte Work Herein Described Fee Verified. Receipled and Recorded Received Permit and IMpaction Feeo
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In the performance of thi. work the undenigned ownar (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by and
submit to all .tatutes, city ordinances, and rules and regulation. pre.cribed by the Board of Public Work. for the government of Plumben.
It I. futher agreed by the undenlgned that no other u... will be made of the above connection. except as hereinafter lI.ted.
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