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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ W6
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Dale ... Lot No. Block -I. Ward Addition or Replot
OUTSIDE WORK
N-
ot
PIII1D1>4w
NEW SEWEll WAIER STORMS FEES ""S REIA. S. SEWER WATER STORMS FEES
From Main to Curb Seplic Tanks From Main 10 Curb
1-"" 8-06
From Curb to Building .ribs Eleclric Pumps From Curb 10 Building
Repair
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NO.
INSIDE WORK
-I~I~I~I 1~1-I~i~I_1 I~I-I~I~
NEW
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Bath Tub
Garbag.. Ditpoaals
Caleb Buins
Wub Bum
WaI"" CIOMt
Ditbw"'¡'....
Conduelor.
-1-
Laundromais
Grease Calch Sulns
SbIIi:
Water Soflener.
Sump Pump &: Ejeclors
Watft Heale..
Sanitary Bubble....
Bar and Soda Willes
Show.. Baths
Floor DraIBs
UriDals
Denial Cuspidors
Laundry Tubs
Service Sinks
IlIIpecllolII -----OutIide
~=::::~-:"--=::::~=:::'.._._Inside
'1:tuation of Ihe Work Herein Described
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Fee Verified. R..eipled and Recorded
Received Permil and Iuspoellon F...
---_3.:_Q--Ç¡-----.5ewer Fees
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----_:....Z..Cí..Q.._- Total
Dale j"/~~
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In th.. performance of Ihis work Ih.. undersigned own..r (or his authorized agent) of .aid premis.s and his authorized Plumber hereby agree to b. bounden by and
submit 10 all statules. city ordinances. and rules and regulations prescribed by the Board of Public Works for Ihe gO'Drnmenl of Plumbers.
It Is futher agreed by Ihe undersigned thaI no olher uses will be mode of the above connections excepl .s hereindl..r lisled.
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