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1t PLUMBING. PERMIT - Oshkosh, Wisconsin . Permil N~. 44
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I Loi No. I Block I Ward I Addüion or Replat
OUTSIDE WORK
Data
NIW SEwn WATER STORMS fEES FEES RELAY S. SEWER WAUl STORMS FE"
From MaID 10 Curb Seplic Tanks From Main 10 Curb
FJom Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW u~. USED FE" NO. NEW RE~. ~ FEES NO. NEW RE~. USED FE"
Bath Tub / )00 Garbage D~ I ¡;~ìJ Catcb BulDs
Wub BulD :J ",\i:> Dishwuben J m Conducto..
Water CI_I ~ '~\i¡ Laund..mato / /IOD Graue Catcb BulDs
SbIk I t 6.,) Watar Softena.. Sump Pump" Ejeclo.. / /
Water Haatan I là:> Sanilary Bubble.. Bar and Soda Wules
Sbower Baiba Urinals
Floor DoaIDs / ~Oo Denial Cuspido..
Laundry Tubs Service Sinks
Inspactions Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Receiyed Permit and Inspection Fees
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ld'i..'¡l..T:J...Plbg. F..s
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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 ell statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be mede 01 the above connections except as hereinaller listed.
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