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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 406
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I Lot No. "1 Block 1 Ward
OUTSIDE WORK
I Addition or Rel'lat
Date
NEW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 C...b Seplic TaDks From Main 10 Curb
From C...b 10 Building Electric Pumpa From C...b 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USED FEES tlO. NEW IEP. USED FEES
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Batb Tub Garbage DiRpoAIs - Catch Bulna
- -
Wuh Buin Dilhwuben Conduclora
- - ~ - -
Water CI_I Laundrllm&lJl Gre... Caleb Buw
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Sink Water Softene.. Sump Pump" Ejecto..
J- Water Heate.. ,/ ¡,CV Sanilary Bubblers Bar and Soda Wulas
,
Shower Baths Urinals
noor DraIDs Denial Cuspidors 1-
Laundry Tubs Service Sinks
lupecllons Valuation of Ibe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and lnspeclion Fees
-_...................................................Oullide .;?£OL..............................................- ............................Sewer Fees
......................................_..................Inside ../,,-..Q.Q...........Plbg. Fees
$............................................................................ /",¿¿.12............Tolal
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$..................-..................................-..............-. Dale ~Äq'77
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submit to an statutes, city ordinances, and rules and regulations prescribed by the Øo;ord of Public Works for the government of Plumbers.
It I, futher agreed by the undlrslgned that no other uses will bl made of tho above connections except IS hereindtor listed.
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