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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 381
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I Lot No. I Block I ward____J Addition or Replat
OUTSIDE WORK
Dato
NEW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Cvb Seplic Tanks From Main 10 Curb
FJom Cvb Ie BuUdlng Electric Pumps From Cvb 10 Building
Repair
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V
INSIDE WORK
NO.
NEW
....
NO,
NEW
RE.. I USED
NO.
NEW
FEES
RE.,
USED
FEES
US"
FRES
Bath Tub
Gubage Dispou]s
Catch Basins
WISh BaslD
Dishwashers
Conducto..
Water CI...I
Laundramats
Graue Catch BaslDs
I--
SIDk
Water Soflene..
Sump Pump lIE Ejeelors
WlÙ8r Hoato..
Sanitary Bubblers
Bu and Soda Wasles
Shower Baths
Urinals
Floor Dr8IDs
Laundry Tubs
Denial Cuspido..
Service Sinks
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Valuation of Ihe Work Herein Described
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Fee Verified. Receipled and Recorded
Received Permit and Inspection Fees
___----I__"-~_ooSewer Fees
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Date 6- I¿¿- Î 7
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1;' tho performonce of this work the undersigned owner (or his authorized agent) of said premises and þis authorized Plumber hereby agree to ba 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.
It Is futher agreed by the undersigned that no other uses will be mada of the above connections except as hereinaftor listed.
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