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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nt;' 279
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Date . / Lot No. Block Ward
OUTSIDE WORK
1- Addilion or Replat
NEW SEwn WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
NO.
fEES
NEW
REP. I USED
fEES
"O.
NEW
UP.
USED
FI..
REP.
USED
BaIh Tub
Garbage DiI~
Dilhwuhen
Catch Bui118
I
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Grease Catch Bui118
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l;rOO
Wuh BulD
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Conducloro
Laundramats
Wat.. Clooel
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81Dk
Waler Softenero
Sump Pump Be Ejeclors
L!
,/'
kòÒ
Bar and Soda Wule.
Sanüary Bubblero
Water Heaten
8how.. Batha
UrlDaiI
Floor Draløa
Laundry Tubs
Denial Cuspidon
Senice SlDks
~:~:_-----------____--Oulside :Z;;:~:~r_~--:~~::_:~~:_=: Fee Verified. Receipled and Recorded Recei::d P:~=il_:.n;e:n;:lion Fees
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In the psrf~r';'ance of this work the undersigned owner (or his authorizad agent) of said premises and his authorized Plumber hereby agree to ;,'e b~nden by end
submit to all statutesr city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no ..ther uses will be made of the above connections except as herei
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