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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
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I Lot No,
I A.ddition or Replal
Date
OUTSIDE WORK
NIW SEwn WAtER srORMS FEES FEES RELAY S. SEWER WArER srORMS FEES
From Mam to Curb Septic Tanks From Main to Curb
!'10m Curb to BuDding Electric Pumps F~om Curb to Building
Repair
INSIDE WORK
NO. NIW REP. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED fiE.
--
Bath Tub Garbage DùpocaIa Cetcb BasiDs
-
Wub Buin Dilhwuhers Conductors
- - - -
W- CIONt LaunclrlUl1Ù8 Gre..... Catch BuiDs
7 &- c..--
SiIIII: Water Softeners Sump Pump &: Ejectors
-
Wùo~ Heaters Sanitary Bubblers Bar and Soda Wastes
Shower Baths Urinals
Floor Dralna Dental Cuspidors
Laundry Tubs Service Sinks
IDipedions Valuation of the Work Herein Described Fee Verified, Receipted and Re""rded Received Permit and Inspeclion Fees
------------------------_---Outsicle $------d.2t2--é._fLCL______------------- -Z--ibZy-Sewer Fees
--------{Z;iJZ2.---_--___J.mide -- -",------------.PIbg, Fees
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submit to all stetutes, 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 made of the ahove conneel;ons except as hereinafter listed.
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