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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 374
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6-/'9/77 I Lot No. I Block I Ward I Addilion or Replal
OUTSIDE WORK
Date
NEW SEwn WArER STORMS FEES fEES RELAY 5. SEWER WATER SrORMS fEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
NO.
NEW
NO.
FEES
NEW
REP.
USED
REP. I USED
FEES
IEP.
USED
fRES
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Denial Cuspido""
Bath Tub
Garbage Disposals
Catch Basins
Wasb Basin
Dishwashen
Conducto..
Gre... Catch Basins
Laundramais
Water Closet
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IdO
I
Sump Pump 8c Ejeclors
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SIDk
Water Softene..
Wat8r Heate..
sanUary Bubblers
Bar and Soda Wasles
Shower Balba
Urinale
Floor Drelne
./
Service Sinks
Laundry Tubs
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Received Permit and Inspecllon Fees
............................Sewer Fees
..I&t.lH2...::...Plbg. Fees
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Dale {p /9/-7'7
Fee Verified. Receipled and Recorded
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City T,.."",
In {he "'rforlÍlance of this work the undersigned owner (or his authorized agent) of said premises and his authorlred Plumber hereby agrae tó 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 15 futher agreed by the undersigned that no other uses will be made of the above connections except as ~ereinafter listed.
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