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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 567
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I Lot Ho. I Block I Ward I Addilion or Replal
OUTSIDE WORK
Dale
NEW SEW" WATER STORMS FE'S FEES RELAY S. SEWER WATER STORMS FEES
From Main 10 Curb Seplic Tanks From Main 10 Curb
FNm Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
FEES
REP. I USE.
FE"
NO.
NEW
USED
FIlS
NO.
REP.
USE'
Bath Tub
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Bar and Soda Wasles
Garbage Dlopooals
Catch Basinl
Wasb Basin
Dishwashers
Conduclors
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Grease Calch Basins
Laundrarnals
WatIW Cl_1
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Water Softeners
Sump Pump 8< Ejeclors
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SIDk
Saniiary Bubblers
Watø Heaten
Show. Balba
UriDalo
Floœ DrÛ118
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Denial Cuspidon
Laundry Tubs
Senice Sinks
Inspeclions --......-..Oubide
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Valualion of Ihe Work Herein Described
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Received PermU and Inspecllon Feeo
-------...--.----------Sewer Fees
L?ì..:.~.P....PIbg. Fees
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Fee Verified. Receipted and Recorded
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be 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 luther agreed by the undersigned that no other uses will be made of the above connections e~cept as hereinafter listed.
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