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PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
Permll
N<?
958
I Addition or Replal
Dale
NEW SEW" WATER STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
From MaiD 10 Curb Soptic Tanks From Main 10 Curb
""'m Curb 10 Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP-
NO.
NEW
FEES
NEW
FEES
REP.
USED
REP. I USED
tlo.
US"
"ES
BaIb Tub
Garbage DIo~
Catch Basins
f----
Wuh Basin
Diobwashen
Conduclors
-,-
Waler CI_I
Laundramall
Gre... Calch Basins
f----
SIrIIo:
WaIer Softeners
Sump Pump" Ejeclors
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...-/1
,oil
sanUary Bubblers
Bar and Soda Wasles
Waler Healers
Shower Baths
noor Dr8lns
UriDalo
Donlal Cuspidors
Laundry Tubs
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Sor'rice Sinks
Received Permit and Inspecllon Fees
----------------------------Sewor Fees
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. Dale /:2;-/50/;7
In the performance of this work tho undersigned owner (or his outhorired agent) of said promises and his outhori.ad Plumber hereby ogre~ to b'e b...fnden by and
submit to all st.tutes, city ordinances, end rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
by the undersigned that no other uses will be mode of the above connections -".xcllpt os ,hereinafter listed.
Valuallon of Ihe Work Herein Described
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Fee Verified, Receipled and Recorded
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