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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 564
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I Lot No. 'I Block I Ward I Addition or Replat.
OUTSIDE WORK
Date
Naw $lWEI WAtE. STORMS fEES fEES .ELAY S, SEWE. WAtE. StORMS FEES
FIOIIl MaIn 10 CW'b Seplic TaDl<s From Main 10 Curb
F!OIIl CW'b 10 Building Electric Pumps From CW'b 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
fEES
.EP. I USED I-;E~ I NO.
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NEW
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NO.
.EP.
USED
Bath Tub
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Garbage DlI~
Catch BaslDs
Wub BuiD
Dishwashers
Conduclon
Greue Catch BaslDs
Laundrllll1&l8
Water CI_I
Vou
Water Softenen
Sump Pump 8< Ejeclors
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Sanitary Bubblen
Bar and Soda Wasles
Water Heate..
ShowarBaIbI
UriDa1s
-l F1oor »raIDs ~
= Laundry Tubs ~ Serrice Sinb ~ ~
Jnspac:1ions Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection 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.
V,.iI?;
Denial Cuspido..
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PlumbIng In_'
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It Is futher agreed by the undersigned that no other uses will be made of the above connection]