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PLUMBING PERMIT - Oshkosh, Wisconsin PerftÛt N':' 8021
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I Lot No. . I Block I Ward
OUTSIDE WORK
Date
I Addition or Repls!
NEW SEWER WATER STORMS fEES ms RELAY S. SEWE. WATE. STORMS fEES
F- Main to Curb Seplic Tanks From Main 10 Curb
FJom Curb to Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RIP. USED flES NO. "EW RE'. USED fEES NO. NEW REP. USED fEES
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Bath Tub Garbage Diapooals ....L I¡.rti Catcb Basins
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Wuh Buin Dlshw..hen Conductors
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Wat.. Clooet Laundr- Grease Catch BuiDa
Sbsk / }.<YCI Water Softeners Sump Pump &: Ejectors
Water Heate... Sanituy Bubble... Bar and Soda Wutes
8ho.... Batha Urillala
Floor DreiDa Dental Cuspidors
LeW1c1ry Tubs Service Sinks
¡...pectIo... Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received PerftÛf and ¡...pection Fees
----"----"-"-"---- ---..Outside $ - -~_e2_r2_:_~..._n.._.._..- 00"""__- ........- "-"'-"-;:,:::v"s.w.. Fees
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$-""0000" ----- -,,- """"'00"""00 00"0000"_00 _00"- ..n"_""__-"""""'Cliÿ"T~.;;.;;ë;---"-"""-""-- Date 1- /1. 7-5 -
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In the performance of this work the undersigned owner (or his euthorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by the B_oard of Public Works for tbe government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the above connections except .s hereinafter listed.
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